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Bill· HRH.R. 2538 (98th)referred

Interim Medical Coverage for the Unemployed Act of 1983

United States · United States Congress · 13 April 1983

Interim Medical Coverage for the Unemployed Act of 1983 - Provides for a voluntary State program (with 90 percent Federal funding) of health insurance or medical coverage for unemployment insurance recipients (and family members) who choose to participate. Provides that States shall contribute through deductions from unemployment compensation payments. Prohibits Federal contributions for an individual participant for more than one year. Directs the Secretary of Health and Human Services to establish weekly premiums in each State. Permits States to provide coverage through private insurers, health maintenance organizations, or other State programs. Authorizes appropriations. Prohibits obligation of funds if a previous fiscal year's unemployment rate was six percent or lower. Amends the Internal Revenue Code to require employer-provided group health plans to provide for open enrollment of spouses of unemployed individuals in order for employer contributions to qualify as a tax-deductible business expense.

Bill· HRH.R. 2467 (98th)referred

A bill to amend the Export Administration Act of 1979 to restrict the export of goods which have been found to be hazardous to the public health.

United States · United States Congress · 12 April 1983

Amends the Export Administration Act of 1979 to prohibit the export of goods which are regulated or subject to registration, licensing, or use requirements under specified laws unless the Secretary of Commerce and the head of the agency regulating the goods agree that the sale of the goods in the foreign country would be subject to similar registration, licensing, or use requirements or that: (1) the government of such country has requested that such goods be exported; (2) the exporter has fully informed such government and the consignee of any U.S. restrictions on the sale of the goods and of the possible hazards posed by the goods; and (3) the potential benefits outweigh the possible hazards. Prohibits the export of goods which do not contain warnings which will be effective in the country to which exported. Prohibits the export of goods for the purpose of using the goods in the manufacture of another article the export of which is prohibited by this Act.

Bill· HRH.R. 2495 (98th)referred

A bill to provide for establishment of a bipartisan Commission to study and make recommendations concerning changes in the medicare program to assure its short-term and long-term financial solvency and the appropriateness of its benefit structure.

United States · United States Congress · 12 April 1983

Establishes the Medicare Financing and Benefit Review Commission to study and make recommendations concerning the financial problems and benefit structure of the programs established under title XVIII (Medicare) of the Social Security Act. Terminates the Commission on June 1, 1984. Authorizes appropriations.

Bill· HRH.R. 2509 (98th)referred

Saccharin Study and Labeling Act Amendment of 1983

United States · United States Congress · 12 April 1983

Saccharin Study and Labeling Act Amendment of 1983 - Amends the Saccharin Study and Labeling Act to extend until 24 months after the date of enactment of this Act the period during which the Secretary of Health and Human Services may not take certain actions to restrict the continued use of saccharin or of any food, drug, or cosmetic containing saccharin.

Bill· SS. 1009 (98th)open

A bill to authorize federal physicians comparability allowances.

United States · United States Congress · 7 April 1983

Limits to two years the length of any service agreement entered into by a physician and a Federal agency under which the physician will receive a comparability allowance. Eliminates the expiration date on the authority of agencies to enter into such agreements.

Bill· SS. 971 (98th)open

A bill to authorize the Secretary of Health and Human Services to expedite research on a disease or disorder which constitutes a public health emergency.

United States · United States Congress · 5 April 1983

Amends the Public Health Service Act to permit the Secretary of Health and Human Services, after consultation with the Director of the National Institutes of Health, the Commissioner of the Food and Drug Administration, or the Director of the Centers for Disease Control, to expedite grant applications for research on diseases or disorders that constitute a public health emergency. Requires reports to the appropriate congressional committees (within 90 days from the end of a fiscal year) regarding any such expedited research.

Bill· SS. 951 (98th)open

Health Care for the Unemployed Act of 1983

United States · United States Congress · 24 March 1983

Amends title XX (Block Grants to States for Social Services) of the Social Security Act to authorize a State to establish a program for providing health care coverage for unemployed workers. Authorizes a State to choose who will be covered, the duration of the coverage, and the duration of the program, except that: (1) to be eligible, an individual must have received, be receiving, or have been eligible for unemployment compensation within specified time periods; (2) coverage is prohibited for the first six weeks of eligibility for unemployment compensation; (3) an individual must have been enrolled in a group health plan at his or her last place of employment; and (4) no coverage may be provided to an individual eligible for Medicaid (title XIX of the Act). Provides coverage only for inpatient and outpatient emergency hospital services and physician services. Authorizes premiums, deductibles, and coinsurance amounts to be charged. Authorizes appropriations for two 12-month periods beginning June 1, 1983, and June 1, 1984. Sets forth reporting requirements. Provides for Federal matching payments of at least 80 percent, but no more than 95 percent. Provides that a State's unemployment offices shall determine program eligibility and that such State's Medicaid agency shall administer health benefits. Amends the Internal Revenue Code to deny 50 percent of the deduction allowed for employer-sponsored health benefit plans if the employer does not provide an open enrollment period if the spouse or parent of an employee becomes unemployed.

Bill· SS. 963 (98th)open

Health Amendment of 1983

United States · United States Congress · 24 March 1983

Health Amendments of 1983 - Title I: Research - Amends the Public Health Service Act to extend authorizations of appropriations through FY 1988 for: (1) cancer programs; (2) blood, lung, and cardiovascular programs; (3) medical libraries; (4) alcohol and drug abuse programs; (5) national research service awards; (6) diabetes data programs and research and training centers; (7) diabetes, arthritis, and digestive diseases advisory boards; and (8) arthritis data programs and multipurpose centers. Extends cancer research center support periods from three to five years. Exempts clinical trial data involving human participants from disclosure under specified conditions. Eliminates: (1) the National Center for Health Care Technology; (2) specified pollution study funding restrictions; (3) specified health research center support provisions; (4) the Task Force on Environmental Cancer and Heart and Lung Disease; (5) specified environmental data collection requirements; and (6) certain Cancer Institute budget provisions. Redesignates (within the National Institutes of Health) the Associate Director for Digestive Diseases and the Subcommittee on Digestive Diseases as the Associate Director for Digestive Diseases and Nutrition and the Subcommittee on Digestive Diseases and Nutrition, respectively. Restricts the coordination responsibilities of the associate directors within the National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases. Amends the Orphan Drug Act to eliminate the provision requiring the support of ten sickle cell disease centers. Title II: Services - Expands the scope of primary care block grants to include migrant health, family planning, and health services for miners. Authorizes appropriations through FY 1986. Eliminates the Office of Population Affairs and the position of Assistant Secretary for Population Affairs. Permits treatment for Hansen's disease (leprosy) outside Public Health Service facilities. Repeals specified provisions regarding civil commitment of addicts and narcotics outpatient services. Permits the Secretary to provide private practice assistance to Health Service Corps Scholarship participants in health manpower shortage areas who have not yet completed two years' service. Permits the use of fiscal agents on behalf of Public Health Service beneficiaries. Title III: Training - Replaces formula and capitation public health training grants with grants for specialized and graduate training in public health and health administration. Authorizes appropriations through FY 1986. Consolidates the National Advisory Councils on Health Professions Education, Nurse Training, and the National Health Service Corps. Eliminates: (1) specified health professions education reporting requirements; and (2) National Health Service Corps Scholarship appropriation requirements. Increases late charges for health professions student loans. Permits the Secretary to assist in loan collections. Prohibits nursing school loan funds to be transferred to scholarship funds. Eliminates ceilings on certain nursing loans. Title IV: Prevention - Authorizes appropriations for health information and promotion authorities through FY 1986. Repeals expired physical fitness and sports provisions. Title V: Health Maintenance Organizations - Eliminates health maintenance organization (HMO) requirements regarding: (1) mental health services; (2) policymaking body membership; (3) Federal standards; (4) feasibility studies; (5) ambulatory facility loans; (6) health systems review; (7) training and technical assistance; and (8) non-HMO Federal funding. Limits: (1) Federal loans and loan guarantees for start-up costs to specified HMOs; and (2) loan guarantee fund borrowing to guarantees made before FY 1983. Title VI: Personnel and Administration - Eliminates additional pay for personnel treating Hansen's disease patients. Limits the applicability of Public Health Service physician additional pay provisions. Authorizes the transfer of certain Public Health Service officers to other uniformed services. Permits the Secretary to determine whether a Health Service Scholarship participant will fulfill his Federal service obligation as a civilian or commissioned officer. Provides health insurance conversion coverage for certain involuntarily separated commissioned officers and dependents. Permits Federal funds to be used for telephone data service in private homes connected to computer centers. Eliminates specified advisory body provisions. Title VII: Requirements for Reports - Modifies and eliminates specified reporting requirements. Title VIII: Health Planning - Eliminates specified health planning provisions.

Bill· SS. 921 (98th)referred

Radiogenic Cancer Compensation Act of 1983

United States · United States Congress · 24 March 1983

Radiogenic Cancer Compensation Act of 1983 - Permits a civil action to be instituted in an appropriate district court against the United States by or on behalf of: (1) any individual who has or has had a radiation related cancer that was diagnosed after January 1, 1952, or any uranium miner who has or has had such cancer that was diagnosed after January 1, 1948; or (2) the estate of any such deceased individual. Requires the Secretary of Health and Human Services at the time the Secretary publishes the radioepidemiological tables, formulas, and methods required to be devised and published pursuant to the Orphan Drug Act, to also publish a list of radiation related cancers. Requires the Administrator of Veterans Affairs to use such tables, formulas, and methods to determine whether cancer which has developed in any veteran is due to radiation exposure while such veteran was on active duty. Permits any person covered by this Act who is also a veteran and who has or has had a radiation related cancer to bring an action under this Act for radiation received while not a member of the armed forces. Permits any such person to have recourse for compensation through the Veterans Administration for radiation received while a member of the armed forces. Sets forth claims and compensation provisions. Makes significantly relevant information, data, and records which have been developed by or are under the control of any Federal agency discoverable by any party to such action. Declares that any individual who has established under this Act and the Orphan Drug Act that he has an individual probability of causation in excess of 50 percent shall receive an award of damages. Limits such award to no more than $500,000. Provides for a limited award of damages for individuals with a probability of causation between 10 percent and 50 percent. Requires an individual to demonstrate his individual dose by a preponderance of the evidence. Provides that this Act shall be the exclusive remedy available to: (1) any individual who alleges to have cancer caused by nuclear fallout from open-air nuclear bomb tests that were conducted in Nevada between January 1, 1951, and July 31, 1962; and (2) any person who alleges to have cancer as a result of working in an uranium mine in Colorado, New Mexico, Arizona, or Utah between January 1, 1947, and December 31, 1961. Sets forth statute of limitations and attorney fee provisions. Declares that an award or claim made in accordance with this Act shall not affect any future or pending insurance claim.

Bill· HRH.R. 2350 (98th)open

Health Research Extension Act of 1983

United States · United States Congress · 24 March 1983

Health Research Extension Act of 1983 - Amends title IV of the Public Health Service Act (National Research Institutes) to establish as an agency of the Public Health Service the National Institutes of Health (NIH) (abolished as a statutory entity by Reorganization Plan No. 3 of 1966) consisting of the following 12 categorical institutes: (1) the National Cancer Institute; (2) the National Heart, Lung, and Blood Institute; (3) the National Institute of Diabetes, and Digestive and Kidney Diseases; (4) the National Institute on Aging; (5) the National Institute of Allergy and Infectious Diseases; (6) the National Institute of Child Health and Human Development; (7) the National Institute of Dental Research; (8) the National Eye Institute; (9) the National Institute of Neurological and Communicative Disorders and Stroke; (10) the National Institute of General Medical Sciences; (11) the National Institute of Environmental Health Sciences; and (12) the National Institute of Arthritis and Musculoskeletal Diseases. Establishes as agencies within NIH: (1) the Division of Research Resources; (2) the National Library of Medicine; (3) the John E. Fogarty International Center for Advanced Study in the Health Sciences; (4) the Office of Medical Applications of Research; (5) the National Center for Health Services Research; (6) the National Center for Health Statistics; and (7) the National Institute for Occupational Safety and Health. Permits the Secretary of Health and Human Services to establish additional research institutes. Provides that: (1) the NIH shall be headed by a Director, who shall be appointed by the President by and with the advice and consent of the Senate; (2) the Secretary acting through the Director shall be responsible for the overall direction of NIH, including specified administrative and supervisory functions; and (3) the Director shall delegate certain program promotion and coordination functions to an Assistant Director including the formulation of a long-range disease Prevention Plan (the first Plan to be prepared by January 1, 1985). Prohibits human fetal experimentation unless: (1) necessary for the survival or meeting of the health needs of the fetus; or (2) the risk to the fetus is minimal and no other alternative is possible. Sets forth waiver provisions. Directs the Secretary to appoint a National Institutes of Health Advisory Board to: (1) advise and make recommendations to the Secretary and the Director; and (2) prepare a biennial report. Requires a biennial report to be submitted by the Secretary to the President and to Congress consisting of: (1) a description of the NIH's activities; (2) the biennial report of the Advisory Board; and (3) the biennial reports of the directors of each of the national research institutes and their advisory councils. Requires the Director of NIH to establish Centers for Research and Demonstration of Health Promotion and Disease Prevention (ten in FY 1984, ten in FY 1985, and five in FY 1986) to undertake research and demonstration projects in health promotion, disease prevention, and improved methods of appraising health hazards and risk factors. Provides that the Director of the National Cancer Institute shall be appointed by the President, and the Directors of the other national research institutes shall be appointed by the Secretary. Sets forth the general duties of the Secretary (acting through the Director of each national research institute) with respect to the aspect of human health for which the institutes were established. Authorizes activities and programs to be supported through grants and contracts approved by each Director. States that each institute shall have an Assistant Director for Prevention. Directs the Secretary to appoint an advisory council for each institute. Sets forth the duties of such advisory councils, including the periodic review of research. Requires the director of each institute to prepare a biennial report. Authorizes specified appropriations for FY 1984 through 1986. States the general purpose and defines the scope of the National Cancer Institute. Requires that cancer control programs under the Institute include demonstration methods for disseminating cancer prevention information to the public. Directs the Secretary, through the Director of the Institute, to establish an information and education center to collect and disseminate information on cancer. Authorizes such Director to: (1) support production or distribution of therapeutic substances for cancer research, including biological materials, and set safety standards for their use; (2) with the approval of such Institute's advisory council, support certain cancer research by foreign nationals outside the United States, encourage collaborative research involving American and foreign participants, and train Americans abroad or foreign nationals in the United States; (3) support education and training programs; (4) coordinate certain research by industrial concerns; (5) hire experts and consultants; (6) acquire, repair, or construct facilities, including facilities in the District of Columbia; (7) appoint advisory committees; (8) enter into contracts, leases, or other transactions; and (9) submit an annual budget estimate to the President. Deletes the existing limitation on aggregate payments respecting cooperative agreements to establish cancer research and demonstration centers, and extends the period of support for a center to five years (with additional extensions of not more than five years). Eliminates the existing requirement that at least two members of the President's Cancer Panel be scientists or physicians, and requires the filling of vacancies within 90 days of their occurrence. States the general purpose and defines the scope of the National Heart, Lung, and Blood Institute. Requires the Secretary, through the Director of the Institute, to establish an information and education center to collect and disseminate information on research, treatment, and prevention of such diseases. Deletes the existing limitation on aggregate payments respecting research and demonstration centers for heart, blood vessel, lung, and blood diseases. States the general purpose of the National Institute of Diabetes and Digestive and Kidney Diseases. Establishes information clearinghouses, data systems, and Associate Director positions, advisory boards, interagency coordinating committees, advisory council subcommittees, and research and training centers. Requires a biennial Institute report. Establishes the National Institute of Arthritis and Musculoskeletal Diseases. Establishes an information clearinghouse and data system, arthritis and skin diseases coordinating committees, demonstration project grant authority, and multipurpose centers. Requires a biennial Institute report. Establishes a National Arthritis Advisory Board. Sets forth the general purpose of the National Institute on Aging. Transfers the responsibility for public information and education programs on aging from the Secretary to the Director of such Institute. Sets forth the general purposes of the National Institutes of: (1) Allergy and Infectious Diseases; (2) Child Health and Human Development (including grants to mental retardation research centers); (3) Dental Research; (4) Neurological and Communicative Disorders and Stroke; (5) General Medical Sciences; and (6) Environmental Health Sciences. Sets forth the general purpose of the National Eye Institutes. Establishes in the National Institute of Neurological and Communicative Disorders and Stroke an Interagency Committee on Spinal Cord Injury to develop and implement Federal initiatives in spinal cord regeneration research. Requires an annual report to Congress. Sets forth the general purposes of the Division of Research Resources, the John E. Fogarty International Center for Advanced Study in the Health Sciences, and the Office for Medical Applications of Research. Authorizes appropriations for National Research Service Awards through FY 1986. Limits the scope of the Institutional Review Board's authority to federally-financed research. Exempts research which does not involve human risk from such review authority. Requires the Director of NIH to establish procedures for periodic, technical, and scientific peer review of NIH research. States that such procedures shall require that: (1) the reviewing entity be given a written description of the research to be reviewed; and (2) such entity shall provide the advisory council of the institute involved with the results of such review. Requires grant or contract recipients to establish an administrative entity to review project reports of scientific fraud and to report any substantial allegations to the Secretary. Requires the Director of NIH to establish a process for handling such allegations. Provides for expedited grant procedures in cases of public health emergencies. Requires an annual report to the appropriate congressional committees regarding such actions. Requires the Secretary to establish animal research standards, including the formation of animal care committees. Requires NIH grant and contract recipients to meet such standards. Authorizes the Secretary to: (1) accept certain conditional gifts for the NIH or a national research institute; and (2) establish suitable memorials for donations of $50,000 or more. Terminates the National Advisory Health Council. Makes technical changes in specified provisions of the Public Health Service Act and other Federal health laws. Amends the Orphan Drug Act to eliminate the provision requiring the establishment of at least ten sickle cell disease centers. States that the National Library of Medicine shall be an agency of NIH (presently established as part of the Public Health Service). Extends authorizations of appropriations through FY 1986. Requires: (1) an NIH pertussis vaccines study (including comparisons with vaccines used abroad); and (2) such study to be completed and reported to Congress by April 1, 1984, or six months after enactment of this Act, whichever is later. Requires the Institute on Aging to conduct a study of personnel for the health needs of the elderly. Requires a report to the appropriate congressional committees by March 1, 1985. Provides for a study of the effects of commercialization on biomedical research. Requires completion of this study by September 30, 1985. Establishes an Interagency Committee on Learning Disabilities. Requires a report to Congress within 18 months. Terminates the Committee 90 days after such report is submitted. Requires the Secretary to conduct a study of: (1) the effectiveness of the national research institutes; and (2) the research programs of the National Institute of Diabetes and Digestive and Kidney Diseases. Prohibits the establishment of any new national research institute (excluding the National Institute of Arthritis and Musculoskeletal Diseases) for at least six months. Requires: (1) the National Institute of Diabetes and Digestive and Kidney Diseases to conduct research on diet therapy for kidney failure; and (2) a report to Congress by January 1, 1987. Authorizes pay increases and extended work schedules for Public Health Service nurses at NIH. Directs the Secretary to follow specified Office of Management and Budget guidelines in calculating biomedical and behavioral research costs. Establishes the National Commission on Orphan Diseases to evaluate public and private rare disease activities. Requires a report to the Secretary and to each House of Congress by September 30, 1985. Terminates such Commission 90 days after submitting such report. Authorizes FY 1984 and FY 1985 appropriations.

Bill· SS. 898 (98th)open

Public Health Emergency Research Act

United States · United States Congress · 23 March 1983

Public Health Emergency Research Act - Amends title IV (National Research Institutes) of the Public Health Service Act to authorize the Secretary of Health and Human Services to conduct research on public health emergency diseases or disorders through the National Institutes of Health (NIH). Permits such research contracts to be entered into without regard to specified statutory provisions. Establishes a fund in the Treasury for such purposes, such fund to be financed through transferred NIH appropriations. Requires annual fund expenditure reports (within 90 days of the end of each fiscal year) to the appropriate congressional committees.

Bill· HRH.R. 2274 (98th)referred

A bill to amend title XVIII of the Social Security Act to provide that services furnished by a clinical psychologist shall be reimbursable under medicare when furnished by a health maintenance organization to a member of that organization.

United States · United States Congress · 23 March 1983

Amends title XVIII (Medicare) of the Social Security Act to provide coverage for services furnished by a clinical psychologist when furnished by a health maintenance organization.

Bill· HRH.R. 2208 (98th)referred

Saccharin Study and Labeling Act Amendment of 1983

United States · United States Congress · 21 March 1983

Saccharin Study and Labeling Act Amendment of 1983 - Amends the Saccharin Study and Labeling Act to extend until 60 months after the date of enactment of this Act the period during which the Secretary of Health and Human Services may not take certain actions to restrict the continued use of saccharin or of any food, drug, or cosmetic containing saccharin.

Bill· HRH.R. 2142 (98th)open

In-Flight Medical Emergencies Act

United States · United States Congress · 16 March 1983

In-Flight Medical Emergencies Act - Directs the Administrator of the Federal Aviation Administration to issue final rules requiring passenger-carrying aircraft of 30 seats or more to carry medical supplies, drugs, and equipment for the temporary treatment of in-flight emergencies. Provides relief from State or Federal civil liability for any licensed medical personnel or air carrier employee who renders emergency medical aid on an airplane or who continues such aid until arrival at a medical facility. Extends such relief to an airplane's crew and owner or operator for providing on-board emergency medical supplies.

Bill· HRH.R. 2125 (98th)referred

A bill to amend title XVIII of the Social Security Act to provide for coverage of advanced life support services furnished by qualified emergency medical technicians when supervised by a physician in radio contact with the technicians.

United States · United States Congress · 16 March 1983

Amends title XVIII (Medicare) of the Social Security Act to provide coverage for emergency advanced life support services furnished by qualified emergency medical technicians under the supervision of a physician (through radio or telecommunication contact or otherwise).

Bill· SS. 811 (98th)open

Health Care for Displaced Workers Act of 1983

United States · United States Congress · 15 March 1983

Health Care for Displaced Workers Act of 1983 - Establishes a State block grant program to provide unemployed workers and their families with health care benefits directly or through insurance or otherwise. Defines "eligible unemployed worker" as a person who: (1) is entitled to regular, extended, or Federal supplemental compensation; (2) has exhausted such benefits within the past 12 months, and is still unemployed; and (3) was a participant in an employer-supported group health plan. Creates a 52- week eligibility period (after workers' compensation eligibility has been exhausted). Bases a State's allocation upon its figures (as compared to national figures) of unemployed, excess unemployed (in excess of six percent), and persons unemployed for 15 weeks or more. Sets forth State application requirements and nondiscrimination provisions. Requires withholding of funds, after notice and hearing opportunity, for noncompliance. Requires the Secretary to conduct fund use investigations in several States annually. Authorizes the Comptroller General to conduct fund use investigations. Authorizes appropriations through FY 1986.

Bill· SS. 814 (98th)open

Health Care Cost Control Act of 1983

United States · United States Congress · 15 March 1983

Health Care Cost Control Act of 1983 - Amends the Social Security Act by adding a new title XXI entitled "Control of Health's Escalating Costs." Prohibits, as a general rule, the total inpatient revenues of a hospital for any accounting period from exceeding the total inpatient revenues from the hospital's base accounting period by a percentage which is greater than the compounded sum of the percentage limits computed under such title for that accounting period and previous accounting periods of the hospital after the base accounting period. Sets forth the method for determining the percentage limitation. Provides, upon the request (and subsequent approval of such request) of an organization owning two or more hospitals in a State, that the limits under such title on total revenues shall be computed and applied in the aggregate for the organization's hospitals with the same accounting period in the State, rather than on each hospital. Prohibits a hospital from changing its admission practices in a manner which results in: (1) a significant reduction in patients who have no third-party coverage and who are unable to pay; (2) a significant reduction in admissions for which payment is (or is likely to be) less than the anticipated charges; (3) the refusal to admit patients who would be expected to require unusually costly care; or (4) the refusal to provide emergency services if the hospital provides such services. Prohibits the charges, the amount recognized as the reasonable charge under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of such Act, and the schedule of Medicaid (title XIX of the Act) payment of a person furnishing outpatient services or of a person furnishing physicians' services to an inpatient of a hospital or other medical institution from exceeding the customary charge, the amount recognized as the reasonable charge under part B of title XVIII, or the schedule of Medicaid payments, respectively, of the person for furnishing such service as established as of January 1, 1983, by a percentage greater than the applicable percentage (computed under this title) for the calendar quarter in which the service is furnished. Prohibits the average reimbursement payable per unit of service to a hospital by a cost payer for outpatient services from exceeding the average reimbursement payable to the hospital per unit of service by the cost payer as estimated as of January 1, 1983, by a percentage greater than the applicable percentage (computed under title XXI) for the calendar quarter in which the service is furnished. Sets forth the method for determining the applicable percentage. Directs the Secretary of Health and Human Services to provide for an analysis of the feasibility and desirability of providing for control of the inpatient costs of skilled nursing facilities and of intermediate care facilities. Sets forth civil penalties for a provider who exceeds the revenue limit and fails to deposit the excess in an escrow account. Requires a provider, in order to avoid a penalty for excess revenues, to establish an escrow account. Authorizes withdrawals if the provider's revenues fall below the applicable limit. Sets forth administrative and judicial review procedures for a provider adversely affected by an assessment. Prohibits reimbursement or payment under Medicare or Medicaid for services furnished by a provider exempted from cost control limits to the extent that the reimbursement or payment exceeds the limits. Authorizes a State to apply to administer the limitations imposed under title XXI with respect to services furnished by the State. Authorizes exemptions from cost control: (1) for demonstration purposes; or (2) for a State which has a hospital reimbursement control system. Increases the Federal medical assistance percentage by two percent for a State indicating an intention to submit a State health care cost control plan or administering a cost limitation program under title XXI. Authorizes a State to apply to the Secretary for the approval of a medical cost control plan for that State. Provides that in the case of any State with an approved plan: (1) the Secretary shall waive the requirements under Medicare for covered services furnished in that State; and (2) the Federal medical assistance percentage under the State's Medicaid program shall be increased by two percent. Requires a State plan to: (1) be administered in a manner that provides equitable treatment for all entities paying for covered health services, employees of hospitals, and patients receiving services; (2) provide required reports to the Secretary; and (3) permit health maintenance organizations (HMO'S) to negotiate lower rates for inpatient hospital services and other services. Authorizes a State plan to be mandatory or voluntary and to exempt hospitals and other persons from limits for demonstration purposes. Requires that the State plan apply to all payors and to at least 75 percent of all revenues or expenses for inpatient hospital services. Prohibits the amount of the total inpatient revenues from increasing at a rate greater than the permissible percentage increase based upon such amount determined for: (1) the previous year; (2) a typical year in the previous three years; or (3) the average of the previous three years. Directs the chief executive officer of a State to provide for the appointment of a panel consisting of seven members, with expertise in health care economics, to develop the methodology for establishing the permissible percentage increase. Requires the State plan to provide a procedure whereby, upon the request of a hospital, an adjustment can be made to the permissible percentage increase. Requires that the State plan: (1) provide for prospective payment of hospitals; (2) have a mechanism for providing fair hearings for hospitals aggrieved by determinations made under the plan; (3) assure that hospitals continue to meet Federal and State certification standards; and (4) provide assurances that hospital admission practices meet specified requirements. Requires the plan to provide for the development of schedules: (1) of maximum payment for outpatient services and for physicians' services furnished to inpatients; and (2) of maximum reimbursement for diagnostic laboratory and X-ray services. Requires the plan to provide for capitation payment to HMOs not in excess of the prevailing rates for comparable services of other providers. Provides that if a State does not have a State cost control plan for FY 1986, the Secretary shall publish a determination that either: (1) the cost limitation program shall apply; or (2) the Secretary shall establish and implement a cost control plan meeting the requirements of a State plan under title XXI. Requires Medicare assignment for physicians' services. Establishes an Advisory Committee on Health Care Technologies and Procedures to examine: (1) the appropriateness of the various interventions and conditions under which they are needed; (2) the safety and efficacy of alternative therapeutic and preventive regimens; and (3) the standards for availability and utilization of various technologies. Directs the Advisory Committee to report on whether or not payments should be made for such services. Sets forth definitions used in title XXI. Prohibits regulations determining reasonable cost from including any provision for specific recognition of a return on equity capital for certain proprietary facilities. Authorizes State demonstration projects which encourage the care of individuals who are chronically ill or severely disabled outside of institutions. Authorizes, in certain instances, the modification of demonstration project provisions so that a project need not maintain the rate of increase in Medicare hospital costs in a State below the national rate of increase in Medicare hospital costs.

Bill· HRH.R. 2088 (98th)open

In-Flight Medical Emergencies Act

United States · United States Congress · 14 March 1983

In-Flight Medical Emergencies Act - Directs the Administrator of the Federal Aviation Administration to issue final rules requiring passenger-carrying aircraft of 30 seats or more to carry medical supplies, drugs, and equipment for the temporary treatment of in-flight emergencies. Provides relief from State or Federal civil liability for any licensed medical personnel or air carrier employee who renders emergency medical aid on an airplane or who continues such aid until arrival at a medical facility. Extends such relief to an airplane's crew and owner or operator for providing on-board emergency medical supplies.

Law· SS. 771 (98th)enacted

Health Promotion and Disease Prevention Amendments of 1983

United States · United States Congress · 11 March 1983

Health Promotion and Disease Prevention Amendments of 1983 - Amends the Public Health Service Act to replace the existing Office of Health Information, Health Promotion, and Physical Fitness and Sports Medicine (within the Office of the Assistant Secretary for Health of the Department of Health and Human Services) with an Office of Health Promotion, to be headed by a Director. Directs such Office to: (1) coordinate Department and private health information, promotion, and prevention services; (2) establish a national information clearinghouse; and (3) support projects, conduct research, and disseminate information relating to preventive medicine, health promotion, physical fitness and sports medicine. Authorizes appropriations through FY 1986. Repeals specified provisions regarding: (1) program models; (2) physical fitness grants; and (3) sports medicine (transferred under this Act). Directs the Secretary of Health and Human Services to make grants to academic health centers to establish Centers for Research and Demonstration of Health Promotion and Disease Prevention. Sets forth related operating provisions. Requires three such centers to be established in FY 1984, and five centers in each of the subsequent two fiscal years. Authorizes appropriations through FY 1986. Requires an annual health promotion and preventive medicine report to the appropriate congressional committees, with the first report due by January 1, 1984. Establishes an Assistant Director for Prevention position in the National Institutes of Health (NIH), to coordinate and promote NIH health promotion and disease prevention programs. Revises full-time student enrollment requirements for schools of public health seeking capitation grants to require that enrollment equal (presently must exceed) 1976 levels.

Bill· SS. 772 (98th)open

Smoking Prevention Health and Education Act of 1983

United States · United States Congress · 11 March 1983

Smoking Prevention Health and Education Act of 1983 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to inform the public of the health hazards of cigarettes through research, demonstration, and educational activities. Establishes an Interagency Committee on Smoking and Health to coordinate such Federal and private activities. Requires the Committee to meet at least four times a year. Directs the Secretary to report annually to Congress on the status of health and smoking in the United States. Makes it a misdemeanor (with maximum $10,000 fine) to manufacture, import, or package cigarettes without first filing a list of chemical additives (types and amounts) with the Secretary. States that such information shall be considered a trade secret. Requires the Secretary to report at least annually to Congress regarding cigarette additives and their health hazards. Amends the Federal Cigarette Labeling and Advertising Act to change existing label warning provisions to require cigarette packages to carry one of four specified warnings on a rotating basis according to Federal Trade Commission rules. Makes it unlawful to manufacture, import, or package cigarettes commercially without disclosing tar, nicotine, and carbon monoxide levels on the package.

Bill· SS. 773 (98th)open

Biomedical Research, Training, and Medical Library Assistance Amendments of 1983

United States · United States Congress · 11 March 1983

Biomedical Research, Training, and Medical Library Assistance Amendments of 1983 - Title I: National Institutes of Health Cancer Programs - Amends title IV (National Research Institutes) of the Public Health Service Act to include within the scope of cancer research and control, responsibility for projects relating to: (1) continuing care of cancer patients and their families; and (2) developmental research. Authorizes appropriations through FY 1986 for the National Cancer Institute (NCI). Requires the continued maintenance and operation of the International Cancer Research Data Bank. Requires the NCI Director to consult with the Secretary of Health and Human Services regarding the appointment of advisory committees and the awarding of construction grants. Increases from $35,000 to $50,000 the ceiling on grants which may be directly approved by the NCI or the National Heart, Lung, and Blood Institute. Increases cancer research and demonstration center support authority from three to five years. Authorizes appropriations through FY 1986 for the National Heart, Lung, and Blood Institute (NHLBI). Includes Cooley's anemia and sickle cell anemia within the scope of NHLBI projects. Eliminates certain NHLBI personnel and appropriations reporting requirements. Requires the NHLBI Director to consult with the National Heart, Lung, and Blood Advisory Council concerning demonstration center assistance. Changes the name of the National Kidney Diseases Advisory Board to the National Kidney and Urologic Diseases Advisory Board. Extends the expiration date of the Diabetes, Arthritis, Kidney and Urologic, and Digestive Diseases Advisory Boards through 1986. Establishes a National Institute (Institute) of Arthritis and Musculoskeletal and Skin Diseases in the National Institutes of Health (NIH). Redesignates the existing National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases as the National Institute of Diabetes and Digestive and Kidney Diseases. States that the Institute shall conduct research and related activities concerning arthritis and musculoskeletal diseases, including sports-related disorders and skin diseases. Requires the Director of the Institute, with the advice of the National Arthritis and Musculoskeletal and Skin Diseases Advisory Council, to establish within 180 days a national plan to coordinate such activities. Requires an annual evaluation of the skin diseases programs. Establishes within the Institute: (1) the National Arthritis and Musculoskeletal and Skin Diseases Data System; and (2) the National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse. Authorizes appropriations through FY 1986. Establishes within the Institute: (1) an Arthritis and Musculoskeletal Diseases Interagency Coordinating Committee; and (2) a Skin Diseases Interagency Coordinating Committee. Requires annual reports to the Secretary of Health and Human Services and to the Director of NIH. Establishes within the Institute a National Arthritis and Musculoskeletal and Skin Diseases Advisory Council. Authorizes appropriations through FY 1986 for arthritis and musculoskeletal demonstration projects and multipurpose disease centers. Requires the Institute to submit a biennial report. Transfers arthritis-related functions (including data system, advisory functions, coordinating functions, demonstration project, and multipurpose center), funds, personnel, and assets to the Institute from the existing National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases. Terminates the National Arthritis Advisory Board. Makes conforming amendments. Requires the Secretary, through NIH, to conduct a study of the existing combinations of disease research programs within the institutes and of the standards to be followed in establishing new or realigning existing institutes. Requires a report to the appropriate congressional committees within 18 months. Prohibits the establishment of any new institutes within six months of such reports' submission. Directs the Secretary to conduct and complete within 60 days a review of the disease research programs of the National Institute of Diabetes and Digestive and Kidney Diseases (as redesignated by this Act) to determine if any of these programs could be more effectively managed by other national research institutions. Title II: Other Programs - Eliminates payback requirements for National Research Awards. Authorizes appropriations through FY 1986. Authorizes National Library of Medicine and medical libraries appropriations through FY 1986. Repeals certain requirements for the Secretary's annual report. Requires an annual report (the first due by January 1, 1984) to the appropriate congressional committees concerning NIH grant, contracting, and peer review improvement activities. Requires the Directors of the NIH institutes to notify their Advisory Boards of any investigations of grant or contract recipients unless such disclosure would jeopardize the investigation. Requires the Director of NIH to establish research application appeals procedures.

Law· HRH.R. 2077 (98th)enacted

Federal Physicians Comparability Allowance Amendments of 1983

United States · United States Congress · 11 March 1983

Federal Physicians Comparability Allowance Amendments of 1983 - Extends the authority of Federal agencies to enter into service agreements providing comparability allowances for Government physicians.

Bill· HRH.R. 2056 (98th)referred

Home and Community-Based Care Act of 1983

United States · United States Congress · 10 March 1983

Home and Community-Based Care Act of 1983 - Amends title XIX (Medicaid) of the Social Security Act to authorize a State to provide home care services to all individuals (currently, limited to individuals 18 years of age or younger) who are disabled, as defined in title XVI (Supplemental Security Income) of the Act, and with respect to whom it has been determined that: (1) they can receive appropriate care outside an institution; and (2) they would have to be institutionalized (but for such home care) at a cost that is equal to or greater than the cost of home care. Amends the Internal Revenue Code to provide a tax credit for a taxpayer who maintains a household for a disabled dependent as described in the above paragraph. Provides that the maximum allowable credit shall be $750.

Bill· HRH.R. 2010 (98th)referred

A bill to amend part A of title XVIII of the Social Security Act to provide emergency assistance to medicare-participating hospitals to enable them to continue to provide vital medical and other health services.

United States · United States Congress · 9 March 1983

Amends title XVIII (Medicare) of the Social Security Act to authorize the Secretary of Health and Human Services to make grants to hospitals meeting specified requirements for their provision of health services during a one year period to individuals who are not eligible for Medicaid (title XIX of the Act), are not covered by insurance, and are otherwise unable to pay for such services.

Bill· HRH.R. 2011 (98th)referred

A bill to amend title XVIII of the Social Security Act to provide for coverage under part B of Medicare for routine Papanicolaou tests for the diagnosis of uterine cancer.

United States · United States Congress · 9 March 1983

Amends title XVIII (Medicare) of the Social Security Act to extend coverage to include expenses incurred in providing a Papanicolaou test for the diagnosis of uterine cancer, if the individual receiving the test has not had such a test on a routine basis during the preceding six months.

Bill· HRH.R. 2036 (98th)referred

Medical Facility Dependent Care Act of 1983

United States · United States Congress · 9 March 1983

Medical Facility Dependent Care Act of 1983 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants and provide technical assistance to medical facilities for dependent care services. Gives priority to those facilities that provide: (1) dependent care 24 hours a day, seven days a week; or (2) care for infant dependents (aged three and under). States that: (1) the Federal share of such costs shall be 75 percent; and (2) the non-Federal share may be provided in cash or services and equipment. Authorizes grants to medical facilities to establish dependent care information clearinghouses and referral networks. Authorizes appropriations for FY 1984 through FY 1986.

Bill· SS. 713 (98th)open

A bill to provide that the Secretary of Health and Human Services may grant deemed certification status under the medicare program with respect to comprehensive outpatient rehabilitation facilities and other outpatient rehabilitation clinics and agencies accredited by a national organization to the same extent and under the same conditions as with respect to other providers.

United States · United States Congress · 8 March 1983

Amends title XVIII (Medicare) of the Social Security Act to authorize the Secretary of Health and Human Services to certify outpatient rehabilitation clinics and hospices for participation in the Medicare program if they are certified by the Commission on Accreditation of Rehabilitation Facilities.

Bill· HRH.R. 1978 (98th)referred

Home and Community-Based Care Act of 1983

United States · United States Congress · 8 March 1983

Home and Community-Based Care Act of 1983 - Amends title XIX (Medicaid) of the Social Security Act to authorize a State to provide home care services to all individuals (currently, limited to individuals 18 years of age or younger) who are disabled, as defined in title XVI (Supplemental Security Income) of the Act, and with respect to whom it has been determined that: (1) they can receive appropriate care outside an institution; and (2) they would have to be institutionalized (but for such home care) at a cost that is equal to or greater than the cost of home care. Amends the Internal Revenue Code to provide a tax credit for a taxpayer who maintains a household for a disabled dependent as described in the above paragraph. Provides that the maximum allowable credit shall be $750.

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