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251 records in US in 1990
United States · United States Congress · 11 May 1990
Designates the week of November 12 through 18, 1990, as National Critical Care Awareness Week.
United States · United States Congress · 10 May 1990
Pharmaceutical Access and Prudent Purchasing Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to require States which provide Medicaid coverage of prescribed drugs to pay pharmacists the lesser of the actual charge for the drug or the 90th percentile of actual charges for the drug in the State. Permits a State, either individually or in cooperation with other States, to establish a program for negotiating Medicaid prescription drug price reductions with drug manufacturers which may include the creation of a list of drugs preferred for their cost-effectiveness over other therapeutically equivalent drugs and sold at a reduced price as a result of such negotiations. Limits Medicaid coverage of prescribed drugs that have one or more therapeutic alternates to preferred drugs and non-preferred drugs which the prescriber determines to be medically necessary. Directs States to establish a drug utilization review program addressing the safety and proper use of prescription drugs. Provides Federal funding for 75 percent of drug utilization review program costs from 1991 through 1993. Requires the Secretary of Health and Human Services to develop and distribute: (1) a standard claim form and a standard electronic claim format to be used in requesting Medicaid payment for outpatient drugs; and (2) a standard reporting format for States to use in reporting expenditures, results of drug utilization review activities, and other information concerning activities under this Act deemed necessary by the Secretary. Provides Federal funding for 75 percent of State costs in adopting, and converting to the use of, such forms during 1991 and 1992. Directs the Secretary to evaluate: (1) the potential for uniting drug price negotiations carried out by the Departments of Defense and Veterans Affairs with negotiations by the Federal prescription drug negotiating group to be established pursuant to this Act; (2) the efficiency and cost-effectiveness of point-of-service electronic claim management and prospective drug utilization review systems involving pharmacists; and (3) the impact on quality of care and cost-effectiveness of paying pharmacists for drug utilization review services. Requires the Secretary to negotiate with drug manufacturers who require purchasers to pay for their associated services for waiver of the application of such requirement to nursing homes, federally funded hospitals and appropriately selected outpatient pharmacies which purchase their drugs. Directs the Comptroller General to evaluate States' drug price negotiating and drug utilization review programs. Requires the Secretary to establish a National Pharmacy and Therapeutics Committee composed of medical and scientific professionals who shall continuously review and evaluate the relative safety, efficacy, and comparability of Medicaid outpatient drugs so as to determine those drugs which have therapeutic alternates and may be designated as preferred drugs via the drug price negotiating process. Requires States which provide Medicaid coverage of prescribed drugs but have not achieved substantial drug price reductions through a negotiating program by 1993 to participate in a State or Federal prescription drug negotiating group by June 30, 1993. Directs the Secretary to establish such Federal group within one year after this Act's enactment. Excludes drugs for which there are no therapeutic alternates from drug price negotiations. Directs the Secretary to report to the Congress by 1995 on the performance of drug price negotiating groups.
United States · United States Congress · 10 May 1990
Breast and Cervical Cancer Mortality Prevention Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to make grants to States, with regard to breast and cervical cancers, for screening, referrals and follow-up services, public information and education programs, education and training for health professionals, quality monitoring of screening, and evaluations of such activities. Sets forth preferences in making the grants and requires equitable geographical distribution. Requires matching non-Federal funds in a specified ratio. Requires that States agree to: (1) provide all of certain services by a specified date; (2) switch to any improved screening procedures which become available; and (3) assure the quality of any screening procedures used. Directs the Secretary to establish guidelines for assuring the quality of mammography and cytological screening conducted under these provisions. Requires that low-income women be given priority in the provision of services. Requires that a charge for services, if any: (1) be made according to a public schedule; (2) be adjusted for income of the women involved; and (3) not be imposed on women with an income below the poverty line. Requires services to be provided throughout a State, including to members of any Indian tribe or tribal organization. Prohibits using grant funds for inpatient services. Authorizes the Secretary to provide training and technical assistance. Directs the Secretary to provide for annual evaluations of programs carried out under this Act. Authorizes appropriations. Limits the number of grants made to seven in FY 1991.
United States · United States Congress · 10 May 1990
AIDS Prevention Act of 1990 - Title I: Preventive Health Services with Respect to Acquired Immune Deficiency Syndrome - Amends the Public Health Service Act to create a new title on preventive health services with respect to acquired immune deficiency syndrome (AIDS). Directs the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to make allotments to States, and authorizes the Secretary, through the Director, to make grants to public and nonprofit private entities who have Medicaid provider status and who meet other requirements, for: (1) counseling; (2) testing, including testing for infection, testing regarding the extent of deficiency in the immune system, testing relating to preventing and treating deterioration of the immune system, and testing relating to preventing and treating conditions arising from the infection; and (3) providing therapeutic measures. Requires information regarding the receipt of services to be kept confidential in a manner not inconsistent with applicable law. Requires counseling and written informed consent prior to testing. Allows: (1) use of a pseudonym in signing a consent form; and (2) consent to be given orally when an individual is to undergo testing without providing any identifying information. Requires counseling before testing and, for both individuals with negative and individuals with positive results, after testing. Requires that opportunities be made available for individuals (including women, children, hemophiliacs, and emergency response employees) to undergo counseling under conditions appropriate to their needs. Allows counseling without testing. Requires that testing by grant recipients for infection be carried out in accordance with the requirements of this Act regarding confidentiality, informed consent, and counseling regardless of whether the testing is carried out with Federal funds. Requires grant recipients who regularly provide treatment for sexually transmitted diseases, who regularly provide treatment for intravenous substance abuse, who are family planning clinics, who provide treatment for tuberculosis, or who regularly provide health care for pregnant women offer and encourage preventive health services to individuals to whom the recipient provides services. Requires a State grant recipient to: (1) encourage individuals in the State receiving a transfusion of any blood product between January 1, 1978, and April 1, 1985, to receive preventive health services; and (2) inform such individuals of public health facilities in the geographic area that provide such services. Declares that individual notifications are not required. Requires a State grant recipient to require that any entity carrying out such testing confidentially report to the State public health officer information sufficient to: (1) perform statistical and epidemiological analyses of the incidence of infection; (2) perform statistical and epidemiological analyses of the demographic characteristics of infected individuals; and (3) assess the adequacy of preventive health services. Requires a State grant recipient to require that the State public health officer, to the extent appropriate in the determination of the officer, carry out a program of partner notification with respect to infection. Mandates that States prohibit acts which knowingly expose nonconsenting or other individuals to the etiologic agent through a donation of blood, semen, or breast milk, through sexual activity, through sharing of hypodermic needles, or through any behavior with the intent to expose another nonconsenting person. Requires that States authorize a civil cause of action and a criminal penalty for violation of these prohibitions. Authorizes the Secretary to make grants to States for preventive health services to individuals sentenced by the State to imprisonment. Requires matching non-Federal contributions in specified ratios. Mandates that States: (1) require testing of prisoners upon entering the State penal system and during the 30-day period before release; (2) inform any penal system employee, on request of the employee, if the employee has a reasonable basis for believing that the employee may have been exposed by an individual to the etiologic agent, of that individual's test results; and (3) inform the spouse of the individual prior to each conjugal visit and prior to release. Requires all prison employees and such spouses to be informed of the availability of the test results. Requires confidentiality of test results, except for the disclosure authorized in these provisions and disclosures as medically necessary. Applies the prison testing requirements only to prisons meeting requirements relating to the prevalence of infection with the etiologic agent or, in the absence of infection data, the prevalence of cases of AIDS in the geographic area in which inmates of the prison involved resided before incarceration. Authorizes appropriations for the prison testing grants. Requires that, to the extent permitted under State law, grant recipients offer substantial opportunities for an individual to undergo counseling and testing without giving any identifying information or using a pseudonym. Prohibits requiring an individual to undergo testing as a condition to receive other health services unless the testing is medically indicated in the provision of the health services sought by an individual. Limits the imposition of fees for preventive health services under this Act. Authorizes appropriations. Requires that counseling programs carried out under this Act: (1) not be designed to promote or encourage, directly, intravenous drug abuse or sexual activity, homosexual or heterosexual; (2) be designed to reduce exposure to and transmission of the etiologic agent for AIDS by providing accurate information; and (3) provide information on the health risks of promiscuous sexual activity and intravenous drug abuse. Title II: Emergency Relief for Areas with Substantial Need for Services - Directs the Secretary, through the Administrator of the Health Resources and Services Administration, to make grants in any metropolitan statistical area (eligible area), as specified by the Secretary, that has reported more than 2,000 AIDS cases and that meets other requirements. Requires that the grants be made only to the chief elected official of the city, urban county, or other political subdivision that administers the public health agency serving the greatest proportion of individuals with AIDS in the eligible area. Requires that the grants be used to: (1) enhance the quality of services to low income individuals and families with HIV disease; (2) deliver outpatient and ambulatory care services, including case management, to such individuals and families, including comprehensive treatment and support services; (3) prevent unnecessary inpatient hospitalization; and (4) expedite the provision of services in the most medically appropriate level. Requires that political subdivision grant recipients agree to provide services only through clinics, sub-acute care facilities, community health centers, hospices, or ambulatory care facilities that: (1) provide health care to a disproportionate share of low-income individuals and families with HIV disease; (2) incur uncompensated costs in providing such care; and (3) with regard to services covered by Medicaid, have Medicaid provider status. Requires the administering local political subdivision to establish: (1) a mechanism to allocate funds and services based on the proportion of AIDS cases and the severity of need of the subdivisions; and (2) an HIV health services planning council. Requires such chief elected official to provide for the council, either by establishing it directly or by designating an existing entity to serve as the council. Provides, at specified times, that one-half of funds appropriated for the grants be used for regular grants and one-half be used for supplemental grants. Requires, in order to receive a grant, that an eligible area submit an application containing, among other elements, an assurance that agencies and institutions in that area that will receive grant funds will be participants in an established HIV community-based continuum of care. Authorizes appropriations. Title III: Emergency Response Employees - Directs the Secretary to make grants to States and their political subdivisions to assist in the implementation of Federal law mandating the dissemination of guidelines to emergency response employees (EREs) regarding reducing the risk in the workplace of becoming infected with the etiologic agent for AIDS and circumstances under which exposure may occur. Authorizes appropriations. Requires a medical facility to notify the designated officer of the transporting EREs if the facility determines that a victim the EREs transported to the facility has an infectious disease. Requires a medical facility, upon request of a designated officer of EREs, to notify the designated officer if the facility makes a determination that a victim transported by EREs has an infectious disease. Applies notification requirements to both the facility receiving the victim and, if the victim dies, to the facility ascertaining the cause of death. Sets forth notification procedures. Requires that the public health officer of each State designate one official of each employer of EREs to make requests and receive notifications. Provides for notification of EREs and for requests from an ERE to a designated officer that the designated officer request notification from the medical facility. Declares that the provisions in this Act regarding notification of EREs will not be construed to authorize or require: (1) a medical facility to test a victim of an emergency for any infectious disease; (2) any medical facility, any designated officer, or any ERE to make disclosures with respect to the identity of a victim or an ERE; or (3) failure to respond, or denial of services. Provides for enforcement through injunctions. Title IV: Health Care Services - Authorizes the Secretary, through the Administrator of the Health Resources and Services Administration, to make grants for demonstration projects to provide comprehensive treatment services for individuals infected with the etiologic agent for AIDS. Authorizes appropriations. Authorizes the Secretary, through the Administrator, to make grants to States to assist in purchasing and distributing certain AIDS-related drugs. Authorizes appropriations. Title V: Certain Definitions - Sets forth definitions for purposes of the new title of the Public Health Service Act, on preventive health services with respect to AIDS, as added by this Act. Title VI: General Provisions - Mandates a study relating to the incidence of AIDS and infection with the etiologic agent for AIDS in rural areas, and the adequacy of related diagnostic and treatment services in such areas.
United States · United States Congress · 9 May 1990
Comprehensive Alzheimer's Assistance, Research, and Education Act of 1990 (CARE) - Title I: Amendments to the Public Health Service Act - Replaces provisions of the Public Health Service Act authorizing the establishment and operation of Alzheimer's Disease centers with provisions requiring the Director of the National Institute on Aging to make grants and enter into cooperative agreements for planning, establishing, or strengthening at least 15 Alzheimer's Disease Research Centers to support any part of the full range of research and development from very basic to clinical. Requires the Director to award Center Core grants or enter into cooperative agreements to support shared resources for categorical research. Requires the Director to award grants or enter into cooperative agreements with entities receiving assistance under the Research Centers and Center Core provisions of this Act to assist in providing high-quality research and services at locations other than the Research Centers. Requires the Director to make grants or enter into cooperative agreements to: (1) attract new or young investigators to careers involving research on biomedical, behavioral, and social aspects of Alzheimer's disease; and (2) develop institutional training programs emphasizing postdoctoral training and training of women and groups underrepresented in such research. Authorizes appropriations for: (1) the grants and cooperative agreements above in this Act; and (2) under existing provisions, awards for leadership and excellence, research on services to individuals with Alzheimer's disease and related dementias and their families, preparation and revision of a plan for certain research related to Alzheimer's disease, and dissemination of research results. Authorizes the Secretary of Health and Human Services, through the Commissioner on Aging, to make grants and enter into contracts for family support demonstration projects. Authorizes the Director to make grants and enter into contracts for long-term care research with regard to Alzheimer's disease and related disorders. Authorizes the Secretary, through the Director of the National Institute of Mental Health, the Administration on Aging, and the National Center for Nursing Research, to make grants and enter into contracts for research on methods for improving the delivery of supportive services to individuals with Alzheimer's disease or related disorders. Authorizes appropriations for family support demonstration projects, long-term care research, and supportive services delivery research. Directs the Secretary to make competitive grants to States for State Alzheimer's disease programs, including medical, legal, educational, health care financing, and other aspects. Requires that 25 to 50 percent of a grant be used in any fiscal year for respite care. Limits grants to: (1) a minimum dollar amount; and (2) one-half of the costs of the research for which the grant is made. Authorizes appropriations. Authorizes the Secretary, through the Director of the National Institutes of Health and the Director of the National Institute of Mental Health (NIMH), to make grants and enter into contracts for basic and clinical research with respect to Alzheimer's disease and related disorders. Authorizes appropriations. Title II: Amendments to the Alzheimer's Disease and Related Dementias Services Research Act of 1986 - Amends the Alzheimer's Disease and Related Dementias Services Research Act of 1986 to require the Council on Alzheimer's Disease to make certain annual reports to the Congress and the public regarding matters related to Alzheimer's disease. Authorizes appropriations for the establishment and operation, under existing provisions, of the Advisory Panel on Alzheimer's Disease. Requires grants under specified existing provisions for Alzheimer's research to focus on specialized care as well as on services. Requires the Director of the NIMH to submit a research plan to the Council annually. Modifies the research to be provided for in the plan. Authorizes appropriations to carry out the responsibilities of the NIMH relating to Alzheimer's disease under the Act. Requires the Administrator of the Agency for Health Care Policy and Research to submit a research plan to the Chairman of the Council annually. Authorizes appropriations to carry out the responsibilities of the Agency under the Act. Replaces provisions requiring education programs for providers of care for individuals with Alzheimer's disease with provisions authorizing the Director of the National Institute on Aging to make grants: (1) on the basis of merit, for training programs and continuing education programs with respect to health care for individuals with Alzheimer's disease or related disorders; and (2) for the development of curricula for the training programs and continuing education programs. Requires the Director to establish the National Alzheimer's Education Program to: (1) provide coordination and leadership in the Federal education and promotion effort; (2) develop and distribute education materials; (3) encourage and work with the media to provide information; (4) encourage and work with public and private efforts to develop models for education, training, and assistance programs; and (5) provide technical assistance. Authorizes the Director to make grants for programs to educate health care providers and the families of individuals with Alzheimer's disease or related disorders on caring for such individuals, and on the availability of public and private sources of assistance. Authorizes appropriations to carry out educational activities provisions of the Act.
United States · United States Congress · 9 May 1990
Makes volatile alkyl nitrite (VAN) a banned hazardous product under the Consumer Product Safety Act, but declares that it shall not be unlawful to manufacture, sell, or distribute VANs for any commercial purpose, except for the production of consumer products containing VANs that may be used for inhaling or otherwise introducing VANs into the human body for euphoric or physical effects.
United States · United States Congress · 9 May 1990
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to repeal the requirement that nonparticipating physicians file Medicare claims on behalf of all of their patients who are Medicare beneficiaries.
United States · United States Congress · 9 May 1990
Comprehensive Alzheimer's Assistance, Research, and Education Act of 1990 (CARE) - Title I: Amendments to the Public Health Service Act - Replaces provisions of the Public Health Service Act authorizing the establishment and operation of Alzheimer's Disease centers with provisions requiring the Director of the National Institute on Aging to make grants and enter into cooperative agreements for planning, establishing, or strengthening at least 15 Alzheimer's Disease Research Centers to support any part of the full range of research and development from very basic to clinical. Requires the Director to award center core grants or enter into cooperative agreements to support shared resources for categorical research. Requires the Director to award grants or enter into cooperative agreements with entities receiving assistance under the Research Centers and center core provisions of this Act to assist in providing high-quality research and services at locations other than the Research Centers. Requires the Director to make grants or enter into cooperative agreements to: (1) attract new or young investigators to careers involving research on biomedical, behavioral, and social aspects of Alzheimer's disease; and (2) develop institutional training programs emphasizing postdoctoral training and training of women and groups underrepresented in such research. Authorizes appropriations for: (1) the grants and cooperative agreements above in this Act; and (2) under existing provisions, awards for leadership and excellence, research on services to individuals with Alzheimer's disease and related dementias and their families, preparation and revision of a plan for certain research related to Alzheimer's disease, and dissemination of research results. Authorizes the Secretary of Health and Human Services, through the Commissioner on Aging, to make grants and enter into contracts for family support demonstration projects. Authorizes the Director to make grants and enter into contracts for long-term care research with regard to Alzheimer's disease and related disorders. Authorizes the Secretary, through the Director of the National Institute of Mental Health, the Administration on Aging, and the National Center for Nursing Research, to make grants and enter into contracts for research on methods for improving the delivery of supportive services to individuals with Alzheimer's disease or related disorders. Authorizes appropriations for family support demonstration projects, long-term care research, and supportive services delivery research. Directs the Secretary to make competitive grants to States for State Alzheimer's disease programs, including medical, legal, educational, health care financing, and other aspects. Requires that 25 to 50 percent of a grant be used in any fiscal year for respite care. Limits grants to: (1) a minimum dollar amount; and (2) one-half of the costs of the research for which the grant is made. Authorizes appropriations. Authorizes the Secretary, through the Director of the National Institutes of Health and the Director of the National Institute of Mental Health (NIMH), to make grants and enter into contracts for basic and clinical research with respect to Alzheimer's disease and related disorders. Authorizes appropriations. Title II: Amendments to the Alzheimer's Disease and Related Dementias Services Research Act of 1986 - Amends the Alzheimer's Disease and Related Dementias Services Research Act of 1986 to require the Council on Alzheimer's Disease to make certain annual reports to the Congress and the public regarding matters related to Alzheimer's disease. Authorizes appropriations for the establishment and operation, under existing provisions, of the Advisory Panel on Alzheimer's Disease. Requires grants under specified existing provisions for Alzheimer's research to focus on specialized care as well as on services. Requires the Director of the NIMH to submit a research plan to the Council annually. Modifies the research to be provided for in the plan. Authorizes appropriations to carry out the responsibilities of the NIMH relating to Alzheimer's disease under the Act. Requires the Administrator of the Agency for Health Care Policy and Research to submit a research plan to the Chairman of the Council annually. Authorizes appropriations to carry out the responsibilities of the Agency under the Act. Replaces provisions requiring education programs for providers of care for individuals with Alzheimer's disease with provisions authorizing the Director of the National Institute on Aging to make grants: (1) on the basis of merit, for training programs and continuing education programs with respect to health care for individuals with Alzheimer's disease or related disorders; and (2) for the development of curricula for the training programs and continuing education programs. Requires the Director to establish the National Alzheimer's Education Program to: (1) provide coordination and leadership in the Federal education and promotion effort; (2) develop and distribute educational materials; (3) encourage and work with the media to provide information; (4) encourage and work with public and private efforts to develop models for education, training, and assistance programs; and (5) provide technical assistance. Authorizes the Director to make grants for programs to educate health care providers and the families of individuals with Alzheimer's disease or related disorders on caring for such individuals, and on the availability of public and private sources of assistance. Authorizes appropriations to carry out educational activities provisions of the Act.
United States · United States Congress · 8 May 1990
Medicare Physician Regulation Relief Amendments of 1990 - Amends title XVIII (Medicare) of the Social Security Act to require carriers and peer review organizations to release the medical review screen or the associated screening parameter to a physician before notifying such physician that payment for his or her service has been denied. Permits Medicare reimbursement of a patient's regular physician for services provided to such patient by another physician who occasionally covers for the regular physician. Requires Medicare carriers to provide physicians, upon request and without charge, with carrier-generated information which physicians need to submit a payment claim or respond to a carrier inquiry. Allows a medical society or other professional organization representing physicians to represent a group or class of physicians in Medicare payment determinations, reconsiderations, or appeals. Directs the Secretary of Health and Human Services to appoint, based on nominations submitted by national medical organizations representing physicians, a Practicing Physicians Advisory Council with which the Secretary must consult concerning changes in the Medicare program and proposed changes in regulations and carrier operation policies.
United States · United States Congress · 8 May 1990
Designates the month of June 1990 as National Huntington's Disease Awareness Month.
United States · United States Congress · 8 May 1990
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to credit State and local employees who held such employment prior to and after the State's decision to opt into the Medicare program (title XVIII of the Social Security Act) with such prior employment for the purpose of determining their eligibility for benefits under part A (Hospital Insurance) of the Medicare program. Authorizes appropriations to the Federal Hospital Insurance Trust Fund.
United States · United States Congress · 8 May 1990
Provides that interest shall not accrue for a specified five-year period with respect to any repayable advance to the Black Lung Disability Trust Fund.
United States · United States Congress · 3 May 1990
Orphan Drug Amendments of 1990 - Amends provisions of the Federal Food, Drug, and Cosmetic Act (FDCA) relating to designation of drugs for rare diseases or conditions to require that the number of people affected be determined three years after the request for designation as well as on the date of the request. Creates additional exceptions from the protection of exclusive approval, certification, or license for drugs for rare diseases for: (1) drugs which qualified for protection because the disease or condition for which they are used affected less than a specified number of persons, but which have ceased to so qualify; and (2) drugs which were developed simultaneously. Requires that designation of a drug be published in the Federal Register and otherwise made available to the public in a manner designed to notify persons who have the disease or condition involved. Amends the Public Health Service Act to replace provisions establishing the Orphan Products Board with provisions establishing under the Assistant Secretary for Health the Office for Orphan Diseases and Conditions. Expands the functions of the Office (previously the Board) to include medical foods as well as drugs and devices. Establishes an advisory committee to advise the Office. Amends the FDCA to authorize appropriations for grants and contracts for development of drugs for rare diseases and conditions.
United States · United States Congress · 3 May 1990
Designates October 17, 1990, as National Drug-Free Schools and Communities Education and Awareness Day.
United States · United States Congress · 3 May 1990
Designates September 1990 as National Awareness Month for Children with Cancer.
United States · United States Congress · 3 May 1990
Medicare Buy-In Prescription Drug Coverage Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to require that State Medicaid plans provide the same prescription drug coverage to Medicare (title XVIII of the Act) beneficiaries whose income is below the Federal poverty level as they provide to Medicaid beneficiaries.
United States · United States Congress · 2 May 1990
Congressional Commitment to Long-Term Care Concurrent Resolution - Expresses the sense of the Congress that payments to long-term care providers under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act be sufficient to maintain the highest quality of patient care in nursing homes.
United States · United States Congress · 1 May 1990
Comprehensive Assistance to Substance Abusing Families Act of 1990 - Title I: Provisions Relating to the Public Health Service Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish: (1) a program to gather information concerning existing impediments in Federal laws, regulations, and practices that interfere with the provision of comprehensive, coherent local treatment services to parents with drug or alcohol problems, especially pregnant and post-partum women, and with the provision of comprehensive, coherent preventive services to children, youth, and families at risk; and (2) an Interagency Committee on Parental Drug and Alcohol Abuse. Authorizes appropriations. Directs the Secretary to establish challenge grant programs for State and local entities through the establishment of interagency demonstration projects to assist: (1) parents with alcohol and drug problems, including pregnant and post-partum women, and their children; and (2) youth at risk of alcohol and drug problems. Authorizes appropriations. Directs the Secretary to establish a program to inform the public of any dangers to maternal and child health resulting from drug and alcohol use during the pregnancy and post-partum period. Authorizes the Secretary to provide technical assistance and make grants to States to assist in the development and distribution of educational programs and materials and public service announcements. Authorizes appropriations. Directs the Secretary, through the Director of the Office for Treatment Improvement and the Director of the Office of Maternal and Child Health, to make grants to eligible entities for the establishment of pilot programs at not fewer than 20 State and local jails or prisons to provide comprehensive drug and alcohol abuse treatment services for women and, in the event of pregnancy, prenatal and post-partum care. Authorizes appropriations. Directs the Secretary to make grants to States to assist in developing statewide, comprehensive, coordinated, multidisciplinary, interagency systems to provide early intervention and family preservation services for families at risk of drug and alcohol abuse and their children. Allows States, notwithstanding any other provision of law and in addition to amounts made available under this Act, to use amounts made available under specified provisions of the Public Health Service Act relating to family preservation services. Requires matching State funds in a specified percentage. Authorizes appropriations. Directs the Secretary to make grants to between ten and 15 States to establish model coordinated education, health, and social service programs for children, especially children living in areas of concentrated poverty and social dislocation, including services relating to health or mental health, education, early education and child care, welfare, juvenile justice, alcohol and drug prevention and treatment, or other social services that can be shown to be effective in preventing long-term damage. Authorizes appropriations. Title II: Provisions Relating to the Social Security Act - Amends title XVI (Supplemental Security Income) of the Social Security Act to direct the Secretary of Health and Human Services to presume that any child is disabled or blind if the child is under the age of four years and has a genetic, congenital, or alcohol or drug related impairment, the medical severity of which cannot be accurately determined because the child is too young, and with respect to whom the Secretary has determined that it is probable that, when the child is older, a test will demonstrate that the child suffers from an impairment of sufficient severity to qualify the child for benefits under such title. Amends title XIX (Medicaid) of the Social Security Act to allow a State, under its Medicaid plan, to furnish free-standing alcohol and drug treatment services and related case management services to alcoholic and drug dependent women of child-bearing age eligible for assistance under the title who desire to rid themselves of drug and alcohol problems. Title III: Provisions Relating to Education - Amends the Head Start Act to require that special consideration for enrollment opportunities under the Head Start Program be provided to children who were born exposed to alcohol or drugs. Directs the Secretary of Education to prepare a report concerning the preparedness of the school system of the United States to meet the special needs of children born affected by alcohol or drugs. Title IV: Provisions Relating to Other Acts - Amends provisions of the Developmental Disabilities Assistance and Bill of Rights Act setting forth certain definitions to add references to children who are affected by the alcohol or drug abuse of their mother. Amends the Child Abuse Prevention and Treatment Act to authorize appropriations to carry out specified provisions of that Act. Amends provisions of the Child Nutrition Act of 1966 relating to the Women, Infants, and Children (WIC) to allow State program agencies to include residential alcohol and drug treatment programs serving pregnant women and juveniles in their special supplemental food program. Amends the United States Housing Act of 1937 to increase the budget authority available under specified provisions, to be used only in connection with certain existing housing programs for occupancy by families where the provision of housing is a significant factor in avoiding initial or continued placement of a child in foster care. Amends the United States Housing Act of 1937 and the United States Housing Act of 1949 to prohibit considering the temporary absence of a child from the home due to placement in foster care in considering family composition and family size. Requires the Indian Health Service to make grants to entities to provide assistance to drug and alcohol abuse treatment programs, relating to Native American pregnant and post-partum women and their infants, that meet certain requirements. Authorizes appropriations. Replaces Public Health Service Act provisions authorizing grants for drug and alcohol abuse prevention, education, and treatment for pregnant and post-partum women and their infants with provisions directing the Secretary of Health and Human Services, through the Director of the Office for Substance Abuse Prevention, to make grants to provide assistance to outpatient and residential drug and alcohol abuse treatment programs relating to pregnant and post-partum females and their infants. Requires the grants to be reasonably distributed among outpatient and residential programs. (Current law requires grants to be distributed among inpatient, outpatient, and residential programs.) Requires grant recipients to provide, arrange for, or refer individuals to specified services. Requires non-Federal matching funds in a specified percentage. Authorizes appropriations.
United States · United States Congress · 1 May 1990
Trauma-Care Center Revitalization Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants for the operating expenses of trauma-care centers with substantial uncompensated costs in areas with significant violence arising from drug abuse. Gives priority to centers: (1) receiving State or political subdivision support not connected to any Federal program; or (2) in areas where a trauma center has ceased participation, or because of uncompensated costs will be unable to participate, in the trauma care system. Limits support for a center to three years, subject to extension by the Secretary for one additional year. Authorizes appropriations.
United States · United States Congress · 30 April 1990
Medicare Respite and Home Health Benefit Amendments of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover up to 80 hours of annual in-home respite care furnished to an individual who has incurred expenses equal to a specified Medicare Part B (Supplementary Medical Insurance) cost-sharing limit and, for the preceding three months: (1) has been unable to perform at least two specified daily living activities without the assistance of an uncompensated primary caregiver with whom he or she resides; (2) has been diagnosed as having Alzheimer's disease and is unable to perform at least two specified daily living activities without substantial human assistance or is so cognitively impaired as to pose a risk to himself or herself or others without such supervision. Covers nursing care and home health aide services as home health services if such services are needed less than seven days each week or are needed for up to 38 consecutive days. Increases the Medicare part B premium.
United States · United States Congress · 27 April 1990
Comprehensive American Health Care Act - Title I: Health Care Access for Uninsured and Medically Underserved Individuals - Subtitle A: Tax Credits for Low and Moderate Income Individuals - Amends provisions of the Internal Revenue Code relating to refundable credits to allow a credit for a portion of the qualified health insurance expenses paid by an individual who is not covered by a health plan maintained by an employer of the individual or the individual's spouse. Provides for coordination with advance payments of credits, special rules relating to Medicare-eligible individuals and subsidized expenses, and coordination with the minimum tax. Directs the Secretary of the Treasury to enter into an agreement with each State for advance payments of the credit to individuals in the form of certificates usable for the purchase of health insurance. Limits eligibility for advance payments to individuals whose family income is not over a certain ratio to the poverty line and who meet other requirements. Directs the Secretary to establish a program to inform the public of the availability of the health insurance credit. Sets forth special rules regarding self-employed individuals. Excludes expenses paid as a credit from treatment as expenses paid for medical care under provisions relating to itemized deductions. Subtitle B: Rural Health Initiatives - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services and the Prospective Payment Assessment Commission to each submit to the Congress a report recommending a methodology for the elimination of the system of determining separate average standardized amounts for hospitals in large urban, other urban, or rural areas. Amends National Health Service Corps Scholarship Program and Loan Repayment Program provisions of the Public Health Service Act to set forth additional priorities in the approval of applications and the acceptance of contracts. Amends the Internal Revenue Code to exclude National Health Service Corps Loan Repayment Program payments from gross income. Directs the Secretary of Health and Human Services, notwithstanding any other provision of law, from amounts retained under specified provisions of the Social Security Act, to provide for a demonstration project evaluating the availability, accessibility, and use of prenatal care services by pregnant women residing in rural areas. Amends the Public Health Service Act to increase the authorization of appropriations for area health education centers. Directs the Secretary of Health and Human Services, from amounts made available under existing block grant authorizations, to make grants to county health departments to provide preventive health services. Directs the Secretary to review the requirements in regulations with respect to rural hospitals developed under specified provisions of the Social Security Act, including standards related to staffing requirements, to determine which requirements could be made less administratively and economically burdensome. Subtitle C: Reauthorization of Federal Vaccine and Immunization Program - Authorizes appropriations for certain preventive health service programs relating to immunizations. Removes provisions relating to preventive health service programs for tuberculosis. Directs the Secretary, through the Director of the Centers for Disease Control, to maintain a supply of vaccines sufficient to provide vaccinations throughout a six-month period. Authorizes appropriations. Authorizes appropriations for the National Vaccine Program. Title II: Health Care Cost Control - Subtitle A: Medical Malpractice Reform - Applies this subtitle to any civil action against any individual based on professional medical malpractice, in any State or Federal court, for damages for physical injury, or physical or mental pain or suffering, or economic loss. Requires a court, subject to exception and limitation, to award costs and attorneys' fees to the prevailing party. Prohibits joint and several liability in actions under this subtitle, except in cases of concerted action. Allows persons to be found liable only for their pro rata share of fault. Requires each attorney in cases under this subtitle to advise the party they represent of the existence of alternative dispute resolution options, including extrajudicial proceedings. Requires the court, if all parties agree to alternative proceedings, to issue an order governing the conduct of the proceedings. Makes such issuance a waiver, by each party subject to the order, of the right to proceed further in court. Subtitle B: Preventive Health Practices Promotion - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to develop: (1) a summary of recommended preventive health care practices for elderly individuals entitled to Medicare benefits; and (2) a one-page form that may be used by elderly individuals to record information such as a personal and family medical history that may be useful to physicians. Requires distribution of: (1) the summary and form when an individual first becomes eligible for benefits under specified provisions; and (2) the summary in conjunction with general mailings to individuals eligible for Medicare benefits. Title III: Long-Term Care and Senior Health Promotion - Subtitle A: Long-Term Care Insurance Promotion - Amends the Internal Revenue Code to require that: (1) a long-term care insurance contract be treated as a health insurance contract; (2) amounts received under such a contract be treated as received for personal injuries or sickness; and (3) any employer plan providing qualified long-term care services be treated as an accident or health plan. Adds long-term care services to the definition of medical care in provisions relating to itemized deductions. Prohibits, subject to exception, employer payments for long-term care insurance from being treated as deferred compensation. Prohibits treating amounts paid or incurred for any long-term care insurance contract as deferred compensation in connection with cafeteria plans. Allows a tax credit for a portion of the qualified long-term care premiums paid. Provides for coordination with regard to advance payments of credit and with regard to minimum tax. Directs the Secretary of the Treasury to enter into an agreement with each State for advance payments of the credit to individuals in the form of certificates usable for the purchase of long-term care insurance. Limits eligibility for advance payments to individuals whose income is not over a certain ratio to the poverty line and who meet other requirements. Directs the Secretary to establish a program to inform the public of the availability of the credit. Excludes early distributions from qualified retirement plans used to pay for long-term care insurance contracts from the ten percent tax imposed on other early distributions. Prohibits the recognition of gain or loss on the exchange of a contract of life insurance or an endowment or annuity contract for a long-term care insurance contract. Subtitle B: Medicare Benefit Improvements - Amends title XVIII (Medicare) of the Social Security Act to add references to screening mammography to provisions defining the term "medical and other health services." Provides for payments, standards, and frequencies regarding screening mammographies. Adds in-home respite care for chronically dependent individuals to the list of benefits of part B (Supplementary Medical Insurance) of the Medicare program. Describes the circumstances under which nursing care and home health aide services will be considered to be provided or needed on an intermittent basis. Allows Medicare part B payments to be made for such services. Allows Medicare hospice benefits for an additional extension period. Increases the Medicare part B monthly premium. Excludes from the determination of the monthly actuarial rate those costs relating to the amendments made by the Medicare Benefit Improvements Act of 1990. Excludes such premium increases from the computation of the aggregate premiums and premiums per enrollee under provisions authorizing appropriations to cover Government contributions and the contingency reserve. Subtitle C: Senior Health Insurance Consumer Protection - Directs the Secretary of Health and Human Services to establish a procedure for certification by the Secretary of health insurance policies for the elderly as meeting minimum standards set forth in this subtitle. Provides for printing of an emblem on policies which meet the standards.
United States · United States Congress · 27 April 1990
Medicaid AIDS and HIV Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to allow each State to provide Medicaid coverage of HIV-related services for individuals who have the HIV virus and an abnormally low immune function for which medical intervention is indicated and whose income and resources do not exceed the maximum amounts allowed under the State Medicaid program for disabled individuals. Allows States to provide Medicaid home and community based services to children who have acquired immune deficiency syndrome (AIDS). Applies the same income and resource eligibility standards as would apply if such children were hospitalized. Requires States to increase payments for inpatient hospital services delivered to Medicaid-eligible individuals with AIDS by hospitals serving high volumes of AIDS victims. Permits States to provide Medicaid coverage of the premiums charged individuals who are eligible for continued employer group health plan coverage after their loss of employment if such individuals also have the HIV virus and an income that does not exceed 133 percent of the Federal poverty level.
United States · United States Congress · 27 April 1990
Medicare Federally Qualified Health Centers and Rural Health Clinic Amendments of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover outpatient services provided by health centers which: (1) are eligible for Public Health Service Act grants to migrant health centers, community health centers, or for health care services to the homeless; or (2) were comprehensive federally funded health centers as of January 1, 1990. Makes deductibles inapplicable to services provided by such health centers. Permits such centers to waive Medicare coinsurance requirements when providing services to individuals who qualify for subsidized services under the Public Health Service Act. Requires the Secretary of Health and Human Services to approve or disapprove a rural health clinic's application for certification within 60 days of the State agency's determination that the clinic qualifies for rural health clinic status. Establishes a temporary one-year waiver of certain staffing requirements for rural health clinics that, despite reasonable efforts, have been unable to hire appropriate personnel. Requires that productivity screening guidelines take into account the combined services of a rural health clinic's staff. Gives rural health clinics and health centers covered by this Act the same appeal and hearing rights as other Medicare providers. Amends title XIX (Medicaid) of the Social Security Act to require the automatic Medicaid certification of health centers which meet this Act's Medicare requirements and a uniform Medicaid payment methodology for such centers which is no more restrictive than that used to determine payments for rural health clinics. Directs the Comptroller General to conduct a study and report to the Congress on whether physicians practicing in community and migrant health centers are able to obtain admitting privileges at local hospitals.
United States · United States Congress · 26 April 1990
Designates October 1990 as National Breast Cancer Awareness Month.
United States · United States Congress · 26 April 1990
Prohibits the Secretary of Health and Human Services from taking any action with the effect of excluding individuals from donating blood because they are of Haitian or sub-Saharan African descent.
United States · United States Congress · 26 April 1990
Amends title XVIII (Medicare) of the Social Security Act to eliminate the limitation on Medicare payments to suppliers who deal directly with end stage renal disease (ESRD) patients rather than through an approval ESRD facility.
United States · United States Congress · 26 April 1990
Bone Marrow Registry Act of 1990 - Amends provisions of the Public Health Service Act providing for the establishment of a voluntary bone marrow donor registry to direct the Secretary of Health and Human Services to ensure that the types of marrow represented in the registry provide adequate representation of the U.S. population. Authorizes appropriations.
United States · United States Congress · 26 April 1990
Amends title XVIII (Medicare) of the Social Security Act to include 25 percent of the inpatient days attributable to patients in a hospital's psychiatric unit in the formula used in determining whether a hospital serves a disproportionate share of low-income patients and is thereby eligible for an additional Medicare payment.
United States · United States Congress · 26 April 1990
Orphan Drug Amendments of 1990 - Amends provisions of the Federal Food, Drug, and Cosmetic Act (FDCA) relating to designation of drugs for rare diseases or conditions to require that the number of people affected be determined three years after the request for designation as well as on the date of the request. Creates additional exceptions from the protection of exclusive approval, certification, or license for drugs for rare diseases for: (1) drugs which qualified for protection because the disease or condition for which they are used affected less than a specified number of persons, but which have ceased to so qualify; and (2) drugs which were developed simultaneously. Requires that designation of a drug be published in the Federal Register and otherwise made available to the public in a manner designed to notify persons who have the disease or condition involved. Amends the Public Health Service Act to replace provisions establishing the Orphan Products Board with provisions establishing under the Assistant Secretary for Health the Office for Orphan Diseases and Conditions. Expands the functions of the Office (previously the Board) to include medical foods as well as drugs and devices. Establishes an advisory committee to advise the Office. Amends the FDCA to authorize appropriations for grants and contracts, under provisions for development of drugs for rare diseases and conditions.
United States · United States Congress · 25 April 1990
International Medical Graduates Anti-Discrimination Act - Amends the Health Care Quality Improvement Act of 1986 to direct the Secretary of Health and Human Services to establish a National Repository of Medical Graduate Records. Requires the Federation of State Medical Boards (FSMB) to provide biannually to the repository the graduate educational, training, experience, and examination records of all medical graduates applying for licensing. Directs the Secretary to establish procedures to certify the records and requires the records, once certified, to be recognized as official records for State purposes of awarding medical licenses, residency positions, medical staff privileges, and clinical privileges. Prohibits the Secretary from releasing records of a graduate without the written consent of the graduate. Prohibits: (1) discrimination against an international medical graduate, on the basis of the international medical degree of the graduate, in licensing, licensing by endorsement, hiring for medical staff positions, or granting clinical privileges; and (2) requiring an international graduate to provide additional information or meet additional requirements that would not be required from a graduate of a school in a State or Canada. Directs the Secretary to make available to the FSMB grants for developing and administering a single national medical licensing examination or set of examinations. Authorizes appropriations.
United States · United States Congress · 25 April 1990
Medicare Nursing Facility Access Improvement Act of 1990 - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to eliminate the prior hospitalization prerequisite to eligibility for Medicare nursing facility services.
United States · United States Congress · 24 April 1990
Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish, and the Assistant Secretary of Health to administer, a program of demonstration grants to teaching hospitals or community mental health centers with staff affiliations with teaching hospitals to provide comprehensive family drug treatment programs and social work follow-up for individuals in such programs. Directs the Assistant Secretary of Health to award ten such grants in limited amounts and terms. Requires grant recipients to provide program evaluation data to media agencies within their State and to State and local agencies involved in drug-related activities. Authorizes appropriations.
United States · United States Congress · 24 April 1990
Substance Abuse During Pregnancy Act of 1990 - Replaces Public Health Service Act provisions relating to model projects for pregnant and post partum women and their infants with provisions directing the Secretary of Health and Human Services, through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, to make grants to eligible entities to provide inpatient, outpatient, and residential substance abuse treatment programs for substance-abusing pregnant and post partum women and their infants. Authorizes appropriations. Directs the Secretary to make grants to eligible institutions to enable the institution to train health care personnel to identify substance-abusing pregnant and post partum women and substance-abused infants. Authorizes appropriations. Amends the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 to direct the Secretary of Health and Human Services to make grants to eligible entities to increase incentives for foster parents to care for substance-abused infants. Allows grant funds to be used, among other things, for financial incentives to recruit foster parents. Limits total expenditures per infant per year. Amends the Child Abuse Prevention and Treatment Act to direct the Secretary to make grants to eligible entities to identify, monitor, place, and track substance-abused infants. Directs the Secretary to: (1) arrange for a study regarding specified aspects of substance-abused infants; and (2) invite the National Academy of Sciences and the National Institute of Child Health and Human Development to submit applications to conduct the study. Authorizes appropriations. Directs the Secretary, through the National Institutes of Health, to conduct a study to identify children, including children receiving assistance under the Head Start Act, who were exposed to substance abuse during the pregnancy of their mothers. Requires the program to evaluate the developmental disabilities of the children. Authorizes appropriations. Directs the Secretary, through the Director of the National Institutes of Health, to conduct a study regarding techniques to detect substance abuse during pregnancy. Authorizes appropriations.
United States · United States Congress · 24 April 1990
Provides for grants to establish at least five projects in which addicted mothers in residential drug abuse treatment facilities are allowed to have their children reside with them during treatment. Authorizes appropriations.
United States · United States Congress · 24 April 1990
Congratulates the deans of the 24 schools of public health in the United States on the occasion of their 50th annual meeting.
United States · United States Congress · 24 April 1990
Amends title XIX (Medicaid) of the Social Security Act to cover personal care services prescribed by a physician, supervised by a registered nurse, and provided to an individual who is not a member of the caregiver's family and is not an inpatient or resident of a hospital or nursing facility.
United States · United States Congress · 24 April 1990
Medicare Physician Regulatory Reform Amendments of 1990 - Amends title XVIII (Medicare) of the Social Security Act to require carriers and peer review organizations to release the medical review screen or the associated screening parameter to a physician before notifying such physician that payment for his or her service has been denied. Allows a medical society or other professional organization representing physicians to represent a group or class of physicians in Medicare payment determinations, reconsiderations, or appeals. Directs the Secretary of Health and Human Services to appoint, based on nominations submitted by national medical organizations representing physicians, a Physicians Advisory Council with which the Secretary must consult concerning changes in the Medicare program and proposed changes in regulations and carrier operation policies.
United States · United States Congress · 23 April 1990
Contraception and Infertility Research Centers Act of 1990 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers with respect to contraception and two centers with respect to infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Services. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated.
United States · United States Congress · 23 April 1990
Declares that the Congress should: (1) establish a program of research for the development of methods of contraception and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on contraception and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of contraception for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to contraception and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with contraception and infertility.
United States · United States Congress · 19 April 1990
Drug Treatment Waiting Period Reduction Grant Program Reauthorization and Improvements Act of 1990 - Amends provisions of the Public Health Service Act relating to grants for reducing drug treatment program waiting lists to remove a prohibition of multiple grants to a single program. Directs the Secretary of Health and Human Services, in making such grants, to give priority to programs providing: (1) treatment for pregnant and postpartum women; and (2) subject to limitation, after-care services. Requires that a State agency certify the qualifications of non-State applicants for grants. Increases the authorization of appropriations and the aggregate limit on appropriations.
United States · United States Congress · 19 April 1990
Medicaid Child Health Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory Medicaid coverage of children whose family income is below the Federal poverty level. Permits States to provide Medicaid coverage to children whose family income does not exceed 185 percent of the Federal poverty level and to foster care children. Prohibits States from considering the value of an automobile, household goods, personal effects, burial spaces, or insurance policies when determining a pregnant woman's Medicaid eligibility. Makes pregnant women who are presumptively eligible for Medicaid benefits and apply for such benefits within a time period specified by the State, but set at no less than 14 days, eligible for such benefits until the State determines otherwise. Requires States to continue the Medicaid coverage of a woman and her infant for 60 days after delivery regardless of fluctuations in her income during such period. Prohibits the redetermination of the Medicaid eligibility of a child under age six who has been deemed eligible less than six months previously, unless such eligibility is due to his or her receipt of aid under part A (Aid to Families with Dependent Children) (AFDC) or E (Foster Care and Adoption Assistance) of title IV of the Act or under title XVI (Supplemental Security Income) (SSI) of the Act. Preserves the Medicaid eligibility of a child under age six who loses such aid until it is determined that he or she is not eligible for Medicaid on some other basis. Requires that Medicaid coverage of inpatient hospital services provided to children at hospitals serving a disproportionate share of low-income patients: (1) make an outlier adjustment in payment amounts for exceptionally long or costly cases if such payments are made on a prospective basis; (2) not impose durational limitations on such services; and (3) not set dollar limits on the delivery of services to individuals who enter the hospital prior to their first birthday. Permits States to cover home and community-based services for children who have acquired immune deficiency syndrome (AIDS) or are medically dependent on a ventilator for life support. Allows States to cover home visitor services furnished by registered nurses to infants, during the first six months of life, who require treatment with life sustaining medication or equipment or technically-assisted feeding. Prohibits the Secretary from limiting to fewer than 500 (currently, 200) the number of individuals in a State who may receive home and community-based services under a waiver of certain Medicaid requirements. Directs the Secretary of Health and Human Services to: (1) develop definitions of medically high risk pregnancy and children at a high risk of medical problems; (2) develop alternative definitions of medically uninsurable children; (3) develop a model health benefit package for pregnant women and children; and (4) study different methodologies to improve the coordination between various public health programs. Sets forth reporting requirements. Requires States to provide Medicaid coverage to all children under age 18 who are SSI recipients. Amends part E (Foster Care and Adoption Assistance) of title IV of the Social Security Act to require that a preplacement health care record for a child be provided to such child's foster care provider and be completed before he or she is placed in foster care or within 30 days after an emergency foster care placement. Requires the maintenance of a health care plan and record for such child while he or she is in foster care, and notification of the provider concerning such child's eligibility for Medicaid early and periodic screening, diagnosis, and treatment services. Amends part A (General Provisions) of title XI of the Act to reduce the lag time between the Secretary's calculation of the Federal matching rate under the AFDC, Medicaid, and Foster Care and Adoption Assistance programs and its implementation. Amends the Medicaid program to reimburse States, at the Federal Medicaid assistance percentage, for outreach services identifying Medicaid-eligible pregnant women and infants and assisting them in applying for Medicaid coverage. Provides that Medicaid waivers to promote the cost-effectiveness and efficiency of pregnancy-related services shall be for an initial three-year term and, upon the Secretary's approval, additional five-year terms.
United States · United States Congress · 19 April 1990
Amends the Omnibus Budget Reconciliation Act of 1986 to allow a New Jersey demonstration project providing respite care under title XIX (Medicaid) of the Social Security Act to continue through FY 1992.
United States · United States Congress · 19 April 1990
Delays until November 18, 1992, the effective date of the final regulations implementing the labeling requirements of the Alcoholic Beverage Labeling Act of 1988 for any brand of beer which had removals for consumption or sale in the United States which were less than one percent of the total such removals for all brands of beer in the United States.
United States · United States Congress · 19 April 1990
Bone Marrow Registry Extension Act of 1990 - Amends the Public Health Service Act to extend through FY 2000 the authorization of appropriations for establishing a registry of voluntary bone marrow donors.
United States · United States Congress · 19 April 1990
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to require Medicare carriers to publish medical review screens and associated screening parameters before applying such screens and parameters to deny Medicare payment for physician services.
United States · United States Congress · 19 April 1990
Medicare Malpractice Dispute Resolution Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to subject Medicare beneficiaries' Medicare malpractice claims to binding arbitration. Requires the establishment in each State of a Medicare arbitration system which meets specified structural and procedural requirements, including the requirement that each claim be decided by a three-person panel selected by both parties to the dispute. Allows such parties to appeal to the appropriate State court to vacate such panel's decision. Directs the Secretary of Health and Human Services to appoint an advisory committee to assist in developing procedures for arbitration panels and in regulating Medical Services Dispute Resolution Organizations responsible for administering the arbitration system in a State. Provides Medicare beneficiaries and applicants with a clear explanation of the binding arbitration system.
United States · United States Congress · 18 April 1990
Universal Health Coverage Act of 1990 - Requires each State to develop and implement by 1995 a State health insurance plan which: (1) requires employers of more than 24 employees to enroll such employees and their dependents in a plan providing specified health benefits; (2) creates mechanisms to reduce the costs of providing health insurance to employees of small companies and self-employed and unemployed individuals; (3) establishes a health benefits plan providing affordable coverage to poor and uninsurable individuals; and (4) requires that the State Medicaid plan (title XIX of the Social Security Act) meet minimum national eligibility and coverage requirements to be developed by the Secretary of Health and Human Services. Requires the Secretary to monitor State health insurance plans so as to determine by 1998 whether such plans should be administered by the Federal Government or remain at the State level. Establishes the Universal Health Coverage Trust Fund to finance this Act's initiatives with revenue from: (1) specified increases in excise taxes on tobacco products and cosmetics; (2) creation of a 33 percent tax rate for taxable incomes over specified levels; and (3) repeal of the phaseout of the 15 percent rate and personal exemptions; and (4) a change in the maximum capital gains rate. Directs the Secretary to establish a demonstration program providing additional funds to ten States to finance features of their State health insurance plans designed to provide health care to populations having difficulty in obtaining reasonably priced quality care.
United States · United States Congress · 5 April 1990
Sensible Advertising and Family Education Act - Declares it to be an unfair or deceptive act or practice under the Federal Trade Commission Act to advertise or cause to be advertised through magazines, newspapers, brochures, promotional displays, or radio or television broadcasting (including cable broadcasting) any alcoholic beverage unless the advertising includes one of specified health warnings. Makes the Federal Trade Commission responsible for establishing and maintaining toll free numbers for assistance referred to in some of the warnings. Sets forth requirements for the warnings, including rotating among the warnings.
United States · United States Congress · 5 April 1990
Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to credit individuals hired before April 1, 1986, by State or local governments which opt into the Medicare program (title XVIII of the Social Security Act) with quarters worked in jobs that were not subject to Medicare taxes for the purpose of determining whether such individuals are eligible for Medicare benefits.
United States · United States Congress · 5 April 1990
Fairness in Rural Health Care Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to permit rural hospitals with 50 or fewer beds to elect to be paid on a reasonable cost basis. Exempts hospitals which make such election from reductions in payments for capital-related costs of inpatient hospital services. Pays such hospitals on a periodic interim basis.