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234 records in US in 1978
United States · United States Congress · 8 February 1978
Nurse Training Amendments - Amends Title VIII (Nurse Training) of the Public Health Service Act to extend for two fiscal years, through fiscal year 1980, the program of financial assistance for nurse training.
United States · United States Congress · 8 February 1978
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
United States · United States Congress · 8 February 1978
National Institute of Health Care Research Act - Directs the Secretary of Health, Education, and Welfare to establish in such Department, the National Institutes of Health Care Research. Directs the Secretary, acting through the Institutes, to conduct and support research, demonstrations, evaluations, and statistical and epidemiological activities respecting the accessibility, acceptability, planning, organization, distribution, and financing of systems for the delivery of health care. Establishes the National Institute for Health Policy Research in the Institutes and requires the Secretary, acting through such Institute, to undertake and support research evaluation and demonstration projects respecting health services systems and delivery. Establishes the National Institute for Health Statistics and Epidemiology in the Institutes and requires the Secretary, acting through such Institute, to collect statistics on the extent and nature of illness and disability of the population of the United States. Establishes in the Institutes the National Center for the Evaluation of Medical Technology. Requires the Secretary, acting through such center, to establish in consultation with the Council for the Evaluation of Medical Technology, priorities for research, demonstrations, and evaluations of medical technologies. Lists guidelines for establishing such priorities. Requires the Secretary, acting through the Center, to assist public and/or private nonprofit entities in meeting the costs of planning and establishing new centers for research, demonstrations and evaluations concerning the safety, efficiency, effectiveness, social, ethical and economic impact of particular medical technologies. Directs the Secretary to establish in such Center a National Council for the Evaluation of Medical Technologies. Authorizes the Council to publish material on exemplary standards, norms, and criteria concerning the utilization of particular medical technologies. Authorizes appropriations for fiscal years 1979, 1980, and 1981 for: (1) health services research, evaluation, and demonstration activities; (2) health statistical and epidemiological activities; and (3) medical technology research, evaluation and demonstration activities. Requires the Secretary to provide National Research Service Awards to the Institutes and for research matters set forth in this Act.
United States · United States Congress · 8 February 1978
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment under the supplementary medical insurance program for foot care involving the cutting and removal of corns, warts, and calluses and the trimming of club nails.
United States · United States Congress · 7 February 1978
Amends the Rehabilitation Act of 1973 to require that any Federal Government contract in excess of $2,500 for the procurement of personal property and nonpersonal services shall contain a provision requiring the contracting employer to establish and operate an alcohol abuse and alcoholism rehabilitation program among employees, or arrange for referral to such programs. Amends the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 to make the Secretary of Health, Education, and Welfare responsible for fostering and encouraging alcohol abuse and prevention programs and services in State and local governments and in private business and industry.
United States · United States Congress · 7 February 1978
Prohibits, during fiscal years 1978 and 1979, the use of funds appropriated to the Department of Health, Education, and Welfare to carry out a program on smoking and health described by the Secretary of Health, Education, and Welfare on January 11, 1978. Stipulates that programs on smoking and health for the period beginning October 1, 1977 and ending January 10, 1978, shall not be affected.
United States · United States Congress · 7 February 1978
Nurse Training Amendments - Amends Title VIII (Nurse Training) of the Public Health Service Act to extend for two fiscal years, through fiscal year 1980, the program of financial assistance for nurse training.
United States · United States Congress · 6 February 1978
Amends Title XIX (Medicaid) of the Social Security Act to extend medical assistance under such Title to individuals who are unable to care for their personal needs due to a physical or mental handicap which may result in death or which has lasted or may last continuously for at least one year.
United States · United States Congress · 6 February 1978
Rural Health Needs Planning Act - Amends the Public Health Service Act to require the Secretary of Health, Education, and Welfare to include in the national guidelines for health planning separate guidelines for nonurbanized areas. Requires to be included on the National Council on Health Planning and Development consumers of health care who are representative of nonmetropolitan areas. Authorizes the Secretary to make grants to health systems agencies on the basis of square mileage served by the agency, for the development and operation of subarea councils and requires health systems agencies to consider the views of such councils. Changes the formula by which the size of grants to health systems agencies shall be determined. Requires the inclusion of members from nonmetropolitan areas on Statewide Health Coordinating Councils. Requires centers for health planning to disseminate to health systems agencies planning approaches and methodologies with special emphasis on the needs of medically underserved populations.
United States · United States Congress · 6 February 1978
Child Health Assurance Act - Amends Title XIX (Medicaid) of the Social Security Act to require early, periodic screening of physical and mental defects (including routine dental care for children under age 22) in children under the age of 21 who are members of families eligible for Aid to Families with Dependent Children. Establishes a Child Health Assurance Program under Medicaid. Requires State Medicaid plans to include child health assessments and primary care to specified individuals under the age of 21. Directs that child health care assessments be provided only by a health care provider who enters into an agreement with the State agency responsible for the administration of the Medicaid plan to: (1) provide to specified individuals periodic health assessments; (2) provide a minimum range of diagnostic and treatment services; (3) arrange for referrals where necessary; (4) be readily accessible on an ongoing basis; (5) provide for timely followup services; (6) make required reports to the State or Secretary of Health, Education, and Welfare. Allows an individual who has received a health assessment to remain eligible for all care and services provided under the State plan for six months after such individual's family has become ineligible for Medicaid or Aid to Families with Dependent Children. Sets forth requirements which a State Medicaid program must meet in administering a Child Health Assurance Program. Provides for reimbursement for payments made by the States in providing services under the program. Authorizes the Secretary to issue a cease and desist order to compel a State which fails to comply with the standards promulgated for the Child Health Assurance Program to correct any deficiency in its program. Provides for judicial review of such order. Allows the Secretary to make additional payments to States that have met specified criteria for good performance of the State's Child Health Assurance Program. Repeals the previous provision of the Social Security Act relating to appropriations for Child Health Care Assurance programs. Establishes the National Commission on Preventive Health. Sets forth the duties and membership structure of such Commission. Authorizes appropriations to fund the activities of the Commission.
United States · United States Congress · 6 February 1978
National Academy of Medicine Act - Establishes a National Academy of Medicine to train doctors at no cost to the student. Requires each student to sign a written agreement to serve as a commissioned officer of the Regular Corps of the Public Health Service upon graduation and after completion of residency and internship for a period of six years for general practitioners and nine years for specialists.
United States · United States Congress · 2 February 1978
Good Samaritan Act - Declares: (1) that any physician, registered nurse, or aircraft employee who, in good faith and with a reasonable belief that immediate medical attention is necessary, renders emergency care to an injured or ill person aboard an aircraft within the special aircraft jurisdiction of the United States shall not be liable for any civil damages as a result of any act or omission by such individual in rendering such care, except for any act or omission amounting to gross negligence or willful or wanton misconduct; and (2) that any such individual shall not be liable for any such act or omission in rendering continued emergency care to the injured or ill person during transportation from the aircraft to a medical facility for further treatment or care.
United States · United States Congress · 2 February 1978
Medicare Home Health Amendments - Amends Title XVIII (Medicare) of the Social Security Act to remove the 100 visit limitation presently applicable to home health care services under such Title. Eliminates prior hospitalization as a condition of eligibility for home health care services under part A (Hospital Insurance Benefits for the Aged and Disabled) of such Title. Eliminates confinement to home as a requirement for receiving home health care services under part B (Supplementary Medical Insurance Benefits for the Aged and Disabled) of such Title. Includes "periodic chore services" within those home health services for which payment may be made under the supplementary medical insurance program.
United States · United States Congress · 2 February 1978
Amends Title XIX (Medicaid) of the Social Security Act to prohibit Federal payments for abortions under such Title except when necessary to prevent the death of the mother.
United States · United States Congress · 1 February 1978
Health Services Extension Act - Amends the Public Health Service Act to authorize appropriations for fiscal year 1979: (1) for grants to State health and mental health authorities to assist in meeting the costs of providing comprehensive public health services; (2) for immunization of children; (3) for the control of diseases borne by rodents; (4) for other disease control programs; (5) for programs for the prevention and control of venereal disease; (6) for testing and counseling, information and education concerning programs relating to genetic diseases; and (7) for lead-based paint poisoning prevention. Establishes a program of grants to the States for hypertension control programs. Authorizes the appropriation of funds for such programs through fiscal year 1979. Amends the Act to extend through fiscal year 1983 the authorization of appropriations: (1) for planning and developing migrant health centers; (2) for operating such centers; (3) for inpatient and outpatient hospital services for migrant workers in high impact areas; (4) for planning and developing community health centers; and (5) for operating community health centers. Amends the Act to authorize appropriations through fiscal year 1981: (1) for hemophilia programs; (2) for blood separation centers; (3) for primary care centers in community hospitals as such hospitals are defined for purposes of this Act; and (4) for establishing, operating and training personnel for home health services as defined in the Social Security Act.
United States · United States Congress · 31 January 1978
National Institutes of Health Care Research Act - Directs the Secretary of Health, Education, and Welfare to establish the National Institutes of Health Care Research. Directs the Secretary, acting through the Institutes, to conduct and support research, demonstrations, evaluations, and statistical and epidemiological activities respecting the accessibility, acceptability, planning, organization, distribution, utilization, and financing of systems for the delivery of health care. Establishes the National Institute for Health Policy Research in the Institutes and requires the Secretary, acting through such Institute, to undertake and support research evaluation and demonstration projects respecting health services systems and delivery. Establishes the National Institute for Health Statistics and Epidemiology in the Institutes and requires the Secretary, acting through such Institute, to collect statistics on the extent and nature of illness and disability of the population of the United States. Establishes in the Institutes the National Center for the Evaluation of Medical Technology. Requires the Secretary, acting through such Center, to establish, in consultation with the Council for the Evaluation of Medical Technology, priorities for research, demonstrations, and evaluations of medical technologies. Lists guidelines for establishing such priorities. Requires the Secretary, acting through the Center, to assist public and/or private nonprofit entities in meeting the costs of planning and establishing new centers for research, demonstrations, and evaluations concerning the safety, efficiency, effectiveness, social, ethical and economic impact of particular medical technologies. Directs the Secretary to establish in such Center a National Council for the Evaluation of Medical Technologies. Authorizes the Council to publish material on exemplary standards, norms, and criteria concerning the utilization of particular medical technologies. Authorizes appropriations for fiscal years 1979, 1980 and 1981 for: (1) health services research, evaluation, and demonstration activities; (2) health statistical and epidemiological activities; and (3) medical technology research, evaluation and demonstration activities. Requires the Secretary to provide National Research Service Awards to the Institutes and for research matters set forth in this Act.
United States · United States Congress · 31 January 1978
Prohibits, during the fiscal years 1978 and 1979, the use of funds appropriated to the Department of Health, Education, and Welfare to carry out a program on smoking and health described by the Secretary of such Department on January 11, 1978. Stipulates that programs on smoking and health for the period beginning October 1, 1977 and ending January 10, 1978, shall not be affected. Limits the use of funds which were projected on or before January 11, 1978, to be expended to carry out the program on smoking and health, announced on such date, to expenditures for additional research during 1978 or 1979 on the harmful properties of tobacco and dangerous effects of smoking.
United States · United States Congress · 30 January 1978
Amends Title XIX (Medicaid) of the Social Security Act to permit States to limit medical assistance under such Title to individuals under age 18 who do not receive benefits under other State approved programs of such Act.
United States · United States Congress · 30 January 1978
Prohibits, during the fiscal years 1978 and 1979, the use of funds appropriated to the Department of Health, Education, and Welfare to carry out a program on smoking and health described by the Secretary of such Department on January 11, 1978. Stipulates that smoking and health programs which were conducted between October 1, 1977 and January 11, 1978, and after January 11, 1978, with an amount of appropriated funds not in excess of the amount projected shall not be affected. Limits the use of funds which were projected on or before January 11, 1978, to be expended to carry out the program on smoking and health, announced on such date, to expenditures for additional research during 1978 or 1979 on the harmful properties of tobacco and dangerous effects of smoking.
United States · United States Congress · 30 January 1978
Amends Title XVIII (Medicare) of the Social Security Act to provide for hearings on disputed Medicare claims by an impartial person other than the carrier designated by the Secretary of Health, Education, and Welfare to administer benefits under such Title.
United States · United States Congress · 30 January 1978
Amends Title XIX (Medicaid) of the Social Security Act to prohibit Federal payments for abortions under such Title except when necessary to prevent the death of the mother.
United States · United States Congress · 27 January 1978
Title I: Community Mental Health Centers Extension - Community Mental Health Centers Extension Act - Amends the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963 to authorize through fiscal year 1979 appropriations for: (1) grants for planning community mental health centers (CMHC) programs; (2) public or nonprofit private community mental health centers and other public or private nonprofit entities which provide mental health services; (3) consultation and educational services of CMHC's; and (4) the National Center for the Prevention and Control of Rape. Allows unexpended grants made to CMHC's to be carried forward to the subsequent grant period without being deducted from the subsequent grant award. Title II: Biomedical Research Extension - Biomedical Research Extension Act - Amends the Public Health Service Act to authorize the Surgeon General to make research chemicals and research animals available to appropriate public authorities, health officials and scientists engaged in special study. Directs that the appointed members of the Board of Regents of the National Library of Medicine be appointees of the Secretary of Health, Education, and Welfare rather than of the President. Authorizes through fiscal year 1981 appropriations for medical libraries for programs under the Public Health Service Act. Authorizes the Director of the National Cancer Institute to provide for the establishment of new centers for basic research. Authorizes appropriations for fiscal year 1979 for the National Cancer Institute. Authorizes through fiscal year 1979 appropriations for research and training in diseases of the heart, blood vessels, lung, and blood and the management of blood resources. Requires that National Research Service Awards to include cost of living increase allowances. Reduces from 20 months to 12 months the length of service in a health-related activity in which a nonteaching recipient of a National Health Service Award must engage for each year of such Award to the individual. Establishes a new formula for the calculation of the amount which the United States is entitled to recover from an individual who fails to fulfill the service obligations incurred by receipt of a National Health Service Award. Authorizes appropriations for fiscal years 1979, 1980, and 1981 for payments under National Research Service Awards and grants for such Awards.
United States · United States Congress · 27 January 1978
Brown Lung Disease Act - Requires that any claim for disability payments due to byssinosis (Brown Lung Disease), other than for those paid by the employer of a textile worker, pursuant to this Act, shall be filed pursuant to the applicable State worker's compensation law. Provides that, for periods when such law does not provide adequate coverage, benefits may be claimed under this Act. States that the Secretary of Labor (Secretary) shall publish a list of State worker's compensation laws which provide adequate coverage. Sets forth the standards by which the Secretary shall judge the adequacy of the coverage for byssinosis provided by a State's workers compensation law. Directs each employer to pay benefits for each death or total disability due to byssinosis arising out of employment in a textile plant. Sets forth the amount of such payments. Provides for the reduction of such payments by the amount of State worker's compensation payments received, or in accordance with the amount of Social Security benefits received. Requires the Secretary, in conjunction with the National Institute for Occupational Safety and Health, to establish standards, which shall include appropriate presumptions, for determining whether a worker is totally disabled from, or in the case of a deceased worker was totally disabled, from byssinosis, and whether such byssinosis arose out of the employment in a textile plant or plants. States that each employer shall be liable for the securing of benefits to employees equal to or greater than those provided by this Act. Sets forth the means by which an employer shall secure the payment of benefits for which such employer is liable during any period in which a State worker's compensation law is not included on the list published by the Secretary. States that nothing in this Act shall relieve any operator of a textile plant of the duty to comply with any State worker's compensation law, except insofar as such State law is in conflict with the provisions of this Act and the Secretary, by regulation, so prescribes. Provides that during any period after the date of enactment of this Act in which a State workmen's compensation law is not included on the list published by the Secretary certain provisions of the Longshoremen's and Harbor Workers' Compensation Act shall be applicable. Authorizes the Secretary to enter into contracts with and make grants to public and private agencies and organizations and individuals for the construction, purchase, and operation of fixed site and mobile clinical facilities for the analysis, examination, and treatment of respiratory and pulmonary impairments in active and inactive textile plant workers. Requires the Secretary to initiate research within the National Institute for Occupational Safety and Health. Authorizes the Secretary to make research grants to public and private agencies and organizations and individuals for the purpose of devising a simple and effective test to measure, detect, and treat respiratory and pulmonary impairments in active and inactive textile plant workers.
United States · United States Congress · 26 January 1978
Amends the Internal Revenue Code to impose an additional excise tax on cigarettes to be paid into a Cigarette Tax Trust Fund in the Treasury and disbursed to States which do not impose more than a three-cent special tax on a pack of cigarettes.
United States · United States Congress · 25 January 1978
Health Services Amendments - Title I: One-Year Extension - Amends the Public Health Service Act to authorize appropriations for fiscal year 1979: (1) for grants to State health and mental health authorities to assist in providing comprehensive public health services; (2) for the treatment of hypertension; (3) for immunization of children; (4) for the control of diseases borne by rodents; (5) for other disease control programs; (6) for programs for the prevention and control of venereal disease; (7) for project grants and contracts for family planning services; (8) for a program to develop information and educational materials relating to genetic diseases; (9) for a program to develop information and educational materials relating to the sudden infant death syndrome; (10) for the establishment of hemophilia diagnostic and treatment centers; (11) for grants to establish and operate emergency medical services; (12) for grants for the establishment of home health services; and (13) for the prevention of the use of lead-based paints. Title II: Preventive Health Services - Repeals existing programs of disease control and prevention and control of venereal disease of Title III (General Powers and Duties) of the Public Health Service Act as of October 1, 1979. Establishes a program of preventive health services under such Title. Authorizes the Secretary of Health, Education, and Welfare to make grants to State health authorities to help meet the costs of preventive health service programs. Sets forth requirements for information to be included in grant applications. Sets forth guidelines for the size of grants. Prohibits disclosure of records of any individual who is receiving care under the program, without the consent of such individual. Authorizes the Secretary to make grants and contracts with State health authorities, health authorities of a political subdivision of a State, and other public and nonprofit private entities for the conduct of programs of education and training, for the administration and operation of preventive health service programs, and for research, demonstrations, and evaluations of such programs. Defines the term "preventive health service programs" as programs of: (1) immunization against specified diseases which the Secretary determines may be prevented through immunization; (2) prevention and control of venereal diseases; (3) prevention and control of tuberculosis; (4) the screening, detection, and control of hypertension; and (5) the control of rodents, detection, treatment, and elimination of lead-based paint poisoning, and other programs of environmental control service designated by the Secretary. Title III: Health Incentive Grants - National Health Incentive Grants Act - Directs the Secretary, under the Public Health Service Act, to make grants to State health authorities to assist in meeting the costs of providing comprehensive public health services. Directs that funds received should be used to supplement non-Federal funds for comprehensive public health services and not to supplant such funds. Provides guidelines by which each State and local public health entity shall compute the amount of such funds it shall receive. Requires the Secretary to review annually the activities undertaken by each State public health authority to determine if such authority complied with the assurances provided with the application for funds. Authorizes the Secretary to withhold payment from authorities which have failed to meet such assurances. Provides that the total amount of grants received by a public health authority shall be determined by the Secretary and provides guidelines by which such a determination is to be made. Title IV: Community and Migrant Health Centers - Provides under the Public Health Service Act that each particular community health center determine: (1) the supplemental health services necessary for the adequate support of primary health services; (2) referral to providers of supplemental health services and payments; and (3) environmental health services for all residents of the area it serves. Deletes transportation services as required for adequate care and preventive dental services from the definition of primary health services. Includes pharmaceutical services in the definition of primary health services. Deletes pharmaceutical services from the definition of supplemental health services. Includes transportation services as required for adequate care and preventive dental services in the definition of supplemental health services. Provides guidelines for the Secretary to determine the amount of grants made to public and nonprofit private health centers which serve medically underserved populations. Authorizes appropriations through fiscal year 1981 for: (1) grants to public and nonprofit private entities for projects to plan and develop community health centers which will serve medically underserved populations of such centers; and (2) grants to public and nonprofit private entities for projects to plan and develop migrant health centers in high impact areas which service migratory agricultural workers and their families and grants for the costs of operation of such centers. Title V: Community Mental Health Centers - Community Mental Health Centers Amendments - Sets forth a schedule under which a community mental health center will provide, within three years of its establishment, the full range of mental health services required to be provided by such a center under the Community Mental Health Centers Act. Adds to the list of such services the provision of emergency and outpatient services. Amends the Public Health Service Act to add to the list of subjects deserving priority consideration in the formulation of national health planning goals: (1) the elimination of inappropriate placement in institutions of persons with mental health problems and the improvement of the quality in institutions providing mental health services; and (2) the assurance of access to community mental health centers and other mental health care providers for needed mental health services, and the emphasis on outpatient care as a preferable alternative to inpatient mental health services. Requires the health systems plan of each health systems agency established under the Public Health Service Act to include goals for the delivery of mental health services. States that such goals shall be developed with the assistance of persons knowledgeable and experienced in the delivery of such services. Requires State Health Coordinating Councils, in advising State health planning and development agencies, to use the assistance of persons knowledgeable and experienced in the delivery of mental health services. Requires that State plans under the Comprehensive Mental Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 and the Drug Abuse and Treatment Act of 1972 be consistent with the State health plans in effect under the Public Health Service Act as amended by this Title. Authorizes appropriations through fiscal year 1981 for grants to public and nonprofit entities which: (1) plan Community Mental Health Center programs; (2) provide mental health services; (3) provide education and consultation services in the field of mental health care; and (4) provide mental health services and are in financial distress. Authorizes appropriations through 1981 for the National Center for the Prevention and Control of Rape. Requires a State mental health authority to establish minimum standards for the maintenance and operation of community mental health centers which receive financial assistance under this title and provide for the enforcement of such standards and to insure that the assistance provided is in furtherance of the mental health component of the State health plan in effect for the State developed by the State health coordinating councils under the Public Health Service Act. Sets forth requirements which States must meet to obtain grants for State mental health services under Title XI (National Health Planning and Development) of the Public Health Service Act. Sets forth measures for the administration of grants to the States for mental health services under such Title.
United States · United States Congress · 24 January 1978
Nurse Training Amendments - Amends Title VIII (Nurse Training) of the Public Health Service Act to extend for two fiscal years, through fiscal year 1980, the program of financial assistance for nurse training.
United States · United States Congress · 24 January 1978
Designates the Veterans' Administration-University of California, San Francisco Medical School medical education building to be located on the grounds of the Veterans' Administration Hospital, Fresno, California, as the "Milo E. Rowell Medical Education Building."
United States · United States Congress · 23 January 1978
Health Planning Amendments - Title I: Revision and Extension of National Health Planning and Development Authority - Amends the Public Health Service Act to permit the Governor of any State which comprises part of an interstate health service area, such an area being an entity designed to facilitate health planning and development functions for a specified region, to request, without the concurrence of the Governors of other States which are part of such area, the redesignation of an interstate area made up of an entire standard metropolitan statistical area. States that no proposed revision of the boundaries of a health service area shall comprise an entire State without prior consensus of the Governor. Directs health systems agencies, such agencies being the bodies designated to provide health planning and development services in a health service area, and Statewide Health Coordinating Councils, to adopt procedures to ensure that no such agency or Council member, employee, consultant, or agent have any actual or apparent conflict of interests with any persons, organization or other entities. Sets forth criteria for selecting health system agency governing body and executive committee members. Directs that there be opportunity for residents of a health service area to participate in the selection process. Excludes from the open meeting requirement confidential agency meetings on personnel issues. Provides for the inclusion on the governing bodies of agencies of persons having their principal place of business within the health service area, doctors of medicine and osteopathy, and nonprofessional health workers. Adds to the statement of goals to be included in the Health Systems Plan (HSP) of a health systems agency a description of institutional health services needed in the area. Requires a State health plan prepared by the Council to have the concurrence of the Governor. Requires a State health coordinating council to coordinate the State health plan with the State mental health plan developed pursuant to the Community Mental Health Centers Act. Requires such plan to assess the minimum requirements for institutional health services and specified other health services. Prohibits the Secretary of Health, Education, and Welfare from making any grant to a State health planning and development agency which does not have a State health plan in effect. Mandates health systems agencies to provide technical assistance in obtaining and filling out necessary forms to applicants applying for projects to achieve the HSP. Allows funds granted for State health planning and development and for regulation of health care rates to be used in a periods succeeding that for which it was granted without being deducted from the subsequent grant award. Extends the period of designation of a health systems agency from one to three years. Provides for a three year extension of such designation. Raises minimum grants to such agencies. Reduces by 25 percent per year for each year during which a State has not designated a State health planning and development agency, the amount of any allotment, grant, loan, or loan guarantee which the Secretary may have committed to a State under this Act. Requires periodic reviews of projects for which a certificate-of-need was issued. Authorizes appropriations for fiscal years 1979, 1980, and 1981 for (1) grants to the States for specified health planning and development purposes, and (2) grants and allotments to the States for health resources development. Title II: Revision and Extension of Health Resources Development Authority - Requires the Governor of a State, as well as the Statewide Health Coordinating Council, to approve any State medical facilities plan under Title XVI (Health Resources Development) of the Public Health Service Act. Authorizes appropriations under such title for fiscal years 1979, 1980, and 1981 for the modernization, conversion, and construction of medical facilities. Directs the Secretary to establish a program of financial assistance to encourage the voluntary consolidation of duplicative hospital services and the discontinuance of unneeded hospital inpatient services. Allows incentive payments received to be used for: (1) the planning, development, and delivery of ambulatory care services; (2) home health care services; (3) long term services; (4) other services designated by the Secretary; (5) preparation of a hospital to serve patients of a closed hospital or reasonable termination pay for personnel who lose employment because of discontinued services; or (6) retraining personnel and assisting them in securing employment. Sets forth provisions governing the application for such incentive payments and the administration of the payment plan. Title III: Miscellaneous Amendments - Repeals Title IX (Education, Research Training, and Demonstration in the fields of Heart Disease, Cancer, Stroke, Kidney Disease, and Other Related Diseases) of the Public Health Service Act.
United States · United States Congress · 20 January 1978
Psychotropic Substances Act - Amends the Controlled Substances Act, the Controlled Substances Import and Export Act, the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to meet obligations under the Convention on Psychotropic Substances.
United States · United States Congress · 19 January 1978
Recombinant DNA Safety Assurance Act - Title I: Commission for the Study of Recombinant DNA Activities - Establishes a Commission for the Study of Recombinant DNA Activities. Directs the Secretary of Health, Education, and Welfare (HEW) to appoint all 17 members of the Commission. Directs the Commission within 12 months of the date of enactment to: (1) study safe means of conducting recombinant DNA activities; (2) review regulations established by HEW for the conduct of recombinant DNA research; and (3) make recommendations to the Congress and the Secretary concerning the safest and most appropriate uses of recombinant DNA. Directs the Commission, in carrying out its duties, to consider: (1) the protection of personnel in recombinant DNA activities; and (2) the extent of recombinant DNA activities in foreign countries. Requires the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research to undertake a study of the ethical, social, and legal implications of advances in recombinant DNA research and technology. Title II: Interim Provisions for Control - Amends the Public Health Service Act to require that all recombinant DNA activities follow the requirements of the recombinant DNA research guidelines promulgated by HEW. Authorizes the Secretary to inspect any facility conducting recombinant DNA activities.
United States · United States Congress · 19 January 1978
Nurse Training Amendments - Amends Title VIII (Nurse Training) of the Public Health Service Act to extend for two fiscal years, through fiscal year 1980, the program of financial assistance for nurse training.
United States · United States Congress · 19 January 1978
Health Planning and Resources Development Amendments - Title I: One Year Extension - Extends for one year, through fiscal year 1979, the authorization of appropriations under the Public Health Service Act: (1) for grants to the States for specified health planning and development purposes, and (2) for grants and allotments to the States for health resources development. Title II: Revision of Health Planning Authority - Requires the Secretary of Health, Education, and Welfare to review annually the national guidelines for health planning promulgated under the Act. Requires the Secretary to determine whether health care delivery systems are meeting the standards and goals set forth in such guidelines and to periodically publish his findings. Directs health systems agencies designated under Title XV to provide such data as will enable the Secretary to carry out his responsibilities. Adds to the list of subjects deserving priority consideration in the formulation of national health planning goals: (1) the discontinuance of duplicative or unneeded services and facilities; and (2) the adoption of policies to contain the rise of health care costs and promote efficiency in the health care delivery system. Directs the Secretary, in considering the application of an organization for designation as an area health systems agency, to give priority to an application which has been recommended by a Governor of a State within the area served by such agency for approval. Permits the State in which an agency is located an opportunity to comment on the performance of such agency before renewal by the Secretary of designating the agency as the health systems agency for a specified area. Authorizes the Secretary to limit the functions an agency may perform if the Secretary determines that such agency has not fulfilled its obligations. Sets forth new criteria for the determination by the Secretary of the amount of the grant to be made each fiscal year to each health systems agency for the operation of such agency. Stipulates that funds provided under grants to a health systems agency for specified purposes in a fiscal year which have not been expended during such year, shall remain available for obligation in the succeeding fiscal year provided the designation of such health systems agency remains in effect during such succeeding year. Sets forth membership and selection requirements for the governing body of a health systems agency. Provides that records and meetings except for personnel matters shall be available to the public. States that each health systems agency shall have an identificable program of providing assistance to the members of a governing body in making decisions for the agency. Prohibits any member of a governing body of a health systems agency from voting on any matter with which such member has any substantial ownership, employment, fiduciary, contractual, creditor, or consultative relationship. Requires that each State health planning and development agency consult with the Statewide Health Coordinating Council to determine statewide health needs. Requires that each health planning and development agency conduct a public hearing on the proposed Annual Implementation Plan and shall give interested persons an opportunity to submit their views orally and in writing. Enumerates the requirements of a certificate of need program established by a State health planning and development agency (State Agency). States that such programs shall provide controls on the acquisition of additional equipment and facilities including: (1) review and determination of need for major medical equipment, health care facilities, and capital expenditures; (2) the acquisition and development of only such equipment, facilities, and services as the State Agency determines are needed; and (3) annual review of acquisition programs. Requires each health systems agency to coordinate its activities with any State entity which reviews rates and budgets of health care facilities. Requires health systems agencies located within the same standard metropolitan statistical area to coordinate their activities. Extends through fiscal year 1982 authorizations for: (1) planning grants; (2) State health planning and development; (3) rate regulation; (4) centers for Health Planning; and (5) area health services development funds. Title III: Revision of Authority for Health Resources Development - Amends Title XVI (Health Resources Development) of the Public Health Service Act to allow the Secretary to make loans for: (1) modernization of medical facilities; (2) construction of new outpatient facilities; (3) construction of new inpatient facilities in areas determined to require additional facilities; and (4) conversion of existing medical facilities for the provision of new health services. Authorizes the Secretary to guarantee payment of principal and interest to: (1) non-Federal lenders for their loans to nonprofit private entities for medical facilities projects; and (2) the Federal Financing Bank for its loans to nonprofit private entities for such projects. Authorizes the Secretary to make grants for construction or modernization projects designed to: (1) eliminate or prevent imminent safety hazards; or (2) avoid noncompliance with State or voluntary licensure or accreditation standards. Authorizes the Secretary to make grants to public and nonprofit entities for projects for: (1) construction of outpatient medical facilities providing services for medically underserved populations; and (2) conversion of existing medical facilities to provide such services. Directs the Secretary to assure, by regulation, the effective execution and management of projects carried out under this Act.
United States · United States Congress · 19 January 1978
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment under the supplementary medical insurance program for foot care involving the cutting and removal of corns, warts, and calluses and the trimming of club nails.
United States · United States Congress · 19 January 1978
Treats the commonwealth of Puerto Rico as a State with a single health service area for purposes of Title XV (National Health Planning and Development) of the Public Health Service Act.