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Resolution· HRESH.Res. 417 (93rd)passed
United States · United States Congress · 30 May 1973
Provides that upon the adoption of this resolution it shall be in order to move that the House resolve itself into the Committee of the Whole House on the State of the Union for the consideration of the bill (H. R. 7724) to amend the Public Health Service Act to establish a national program of biomedical research fellowships, traineeships, and training to assure the continued excellence of biomedical research in the United States, and for other purposes. States that after general debate, which shall be confined to the bill and shall continue not to exceed one hour, to be equally divided and controlled by the chairman and ranking minority member of the Committee on Interstate and Foreign Commerce, the bill shall be read for amendment under the five-minute rule. Requires that, at the conclusion of the consideration of the bill for amendment, the Committee shall rise and report the bill to the House with such amendments as may have been adopted, and the previous question shall be considered as ordered on the bill and amendments thereto to final passage without intervening motion except one motion to recommit.
Resolution· HRESH.Res. 415 (93rd)passed
United States · United States Congress · 30 May 1973
Provides that upon the adoption of this resolution it shall be in order to move that the House resolve itself into the committee of the whole House on the State of the Union for the consideration of the bill (H. R. 6458) to amend the Public Health Service Act to authorize assistance for planning, development, and initial operation, research, and training projects for systems for the effective provision of health care services under emergency conditions. States that after general debate, which shall be confined to the bill and shall continue not to exceed one hour, to be equally divided and controlled by the chairman and ranking minority member of the Committee on Interstate and Foreign Commerce, the bill shall be read for amendment under the five-minute rule. Requires that it shall be in order to consider without intervention of any point of order the text of the bill H. R. 8220 if offered as an amendment to the bill H. R. 6458. Provides that, at the conclusion of the consideration of H. R. 6458 for amendment, the Committee shall rise and report the bill to the House with such amendments as may have been adopted, and the previous question shall be considered as ordered on the bill and amendments thereto to final passage without intervening motion except one motion to recommit. States that, after the passage of H. R. 6458, it shall be in order in the House to take from the Speaker's table the bill S. 504 and to move to strike out all after the enacting clause of the said Senate bill and insert in lieu thereof the provisions contained in H. R. 6458 as passed by the House.
Bill· HRH.R. 8194 (93rd)referred
United States · United States Congress · 29 May 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 8169 (93rd)referred
United States · United States Congress · 29 May 1973
Extends for one fiscal year the programs of assistance under the Community Mental Health Centers Act.
Bill· HRH.R. 8195 (93rd)referred
United States · United States Congress · 29 May 1973
Provides that, under the Medicare provisions of the Social Security Act, where an individual is an inpatient of a skilled nursing facility, his absence from such facility for a short period with the approval of his physician shall not (in and of itself) be considered as indicating a lack of need for the services being furnished him or as terminating his right to have payments made under the medicare program for such services.
Bill· HRH.R. 8208 (93rd)referred
United States · United States Congress · 29 May 1973
Directs the Secretary of Health, Education, and Welfare to continue operation of Public Health Service hospitals located in Seattle, Washington; Boston, Massachusetts; San Francisco, California; Galveston, Texas; New Orleans, Louisiana; Baltimore, Maryland; Staten Island, New York; and Norforlk, Virginia.
Bill· HRH.R. 8172 (93rd)referred
United States · United States Congress · 29 May 1973
Establishes within the Department of Health, Education, and Welfare an Office of Population Affairs to be directed by an Assistant Secretary for Population Affairs. Sets forth the duties of the Assistant Secretary. Establishes within the Department an Administration on Reproductive Research and Family Planning. Creates within the Administration a National Center for Family Planning Services, headed by a Director, which shall establish identifiable units to carry out, at a minimum, the following functions: Public information, program planning and evaluation, manpower development and training, supervision of field services, and grants management. Establishes within the Administration, a National Institute for Research on Human Reproduction and Population Change which shall establish identifiable units to carry out, at a minimum, the following functions: Reproductive physiology research, contraceptive development and evaluation, operational research, social science research, public information, manpower development and training, and grants management. Establishes a National Family Planning Services Advisory Council to advise, consult with, and make recommendations to the Director, at meetings held no less than two times each year, on matters relating to the activities of the National Center for Family Planning Services. Establishes a National Population Sciences Advisory Council to advise, consult with, and make recommendations to the Director, at meetings held no less than two times each year, on matters relating to the activities of the National Institute for Research on Human Reporduction and Population Change. Sets forth the functions of the Administration on Reproductive Research and Family Planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Requires the Secretary of Health, Education, and Welfare to submit a report to Congress on each January 1 for the five years following the enactment of this Act. Authorizes appropriations for fiscal years 1974-1976 for the following: (1) special project grants for family planning services; (2) formula grants for family planning, public health services; (3) manpower development and program planning and evaluation; (4) research grants and contracts; (5) grants for support of population sciences, research centers; and (6) planning and population growth information distribution and educational materials development.
Bill· HRH.R. 8146 (93rd)referred
United States · United States Congress · 24 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) Health Services Research and Development; (2) National Health Surveys and Studies; (3) Public Health Training; (4) Migrant Health; (5) Comprehensive Health Planning and Services; (6) Assistance to Medical Libraries; (7) Hill-Burton Programs for Construction of Medical Library Facilities; (8) Training in the Allied Health Professions; (9) Regional Medical Programs; and (10) Population Research and Family Planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) Construction Assistance for Mental Health Centers; (2) Staffing Assistance for Mental Health Centers; (3) Alcoholism programs; (4) Drug Abuse programs; (5) Alcoholism and Drug Abuse programs; and (6) Mental Health of Children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Miscellaneous - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 8143 (93rd)referred
United States · United States Congress · 24 May 1973
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1973, and ending June 30, 1976, such sums as may be necessary to carry out the purpose of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hempophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of actions conducted under this Act.
Bill· HRH.R. 8114 (93rd)referred
United States · United States Congress · 24 May 1973
Directs the Secretary of Health, Education and Welfare to establish in the Public Health Service the National Institute on Population Sciences to conduct research and training relating to population matters such as: (1) biomedical research in reproduction biology; (2) research in the development of fertility control technology; (3) research in the medical and other effects of fertility control methods; (4) research in the organization, delivery, and dissemination of fertility control methods and services; and (5) research in the social, behavioral, and demographic sciences. Establishes an Advisory Council to advise and consult with the Director of the Institute. Provides that the Council shall assume the duties of the National Advisory Health Council relating to population matters. Authorizes the Director to provide for the establishment of centers for basic, applied and directed research and other activities relating to human reproduction, fertility control, delivery of fertility control services, sterility, population growth, distribution, density, and change, and other factors which affect population dynamics. Authorizes the Director to make provisions for scientific peer review committees to evaluate research grants and programs established under this Act.
Bill· HRH.R. 8160 (93rd)referred
United States · United States Congress · 24 May 1973
Veterans Health Care Expansion Act - Title I: Hospital, Domicilliary, and Medical Care Benefits - Extends the definition of "private facilities" for which the Administrator of Veterans' Affairs contracts in order to provide hospital care to include facilities for the wife or child of a veteran who has a total disability, permanent in nature, resulting from a service connected disability, and the widow or child of a veteran who died from such a disability. Includes in the term "hospital care" mental health services, consultation, professional counseling, and training of a veteran or dependent, or survivor if the veteran has no dependents, as may be necessary or appropriate to the effective treatment and rehabilitation of such individual. Adds home health services which the Administrator deems appropriate for the effective and economical treatment of a disability of a veteran, or dependent, or survivor, to the definition of the term "medical services." Extends to all veterans hospital or nursing home care if such veteran is unable to defray the expenses of the necessary care. Allows the Administrator to furnish hospital or nursing home care to the wife or child of a veteran who has a total disability, permanent in nature from a service connected disability, and the widow or child of a veteran who died from such a disability. Permits the Administrator to furnish medical services for any disability on an outpatient or ambulatory basis to persons already described in this act and to any veteran who has a service connected disability rated at eighty percent or more. Authorizes the Administrator, under such regulations as he might prescribe, to reimburse veterans entitled to hospital care as medical services for the reasonable value of such care or services for which such veterans have made payment from sources other than the Veterans' Administration. (Adds 38 U.S.C. 628) Authorizes the President to assist the Republic of the Philippines in providing medical care and treatment for Commonwealth Army veterans and new Philippine Scouts under certain conditions. (Amend 38 U.S.C. 631) Provides that the President may authorize the Administrator to enter into a contract with the Veterans Memorial Hospital, with the approval of the appropriate department of the Government of the Republic of the Philippines under which the United States: (1) will pay for hospital care in the Republic of the Philippines, or for medical services which shall be provided either in Veterans' Administration facilities, or by contract, or otherwise, by the Administrator in accordance with the conditions and limitations applicable generally to beneficiaries under this title, for Commonwealth Army veterans determined by the Administrator to be in need of such hospital care or medical services for service-connected disabilities; (2) will pay for hospital care at the Veterans Memorial Hospital for Commonwealth Army veterans determined by the Administrator to need such care for non-service-connected disabilities if they are unable to defray the expenses of necessary hospital care; and (3) will pay for hospital care, determined by the Administrator to be necessary, at the Veterans Memorial Hospital for new Philippine Scouts for service-connected disabilities and for non-service-connected disabilities, if they are unable to defray the expenses of necessary hospital care. Provides that the total of the payments authorized shall not exceed $2,000,000 for any one fiscal year ending before 1978. Authorizes to be appropriated for each fiscal year ending with fiscal year 1978, $100,000 to be used for the education and training of health service personnel at the hospital, and for the upgrading of equipment and in rehabilitating the physical plant and facilities of such hospital. (Amends 38 U.S.C. 632) Authorizes the Administrator to carry out a comprehensive program providing sickle cell anemia screening, counseling, and treatment and to carry out research and research training in the diagnosis, treatment, and control of sickle cell anemia based upon such screening examinations and treatment. Requires the Administrator to include such information in his annual report to Congress. (Adds 38 U.S.C. 651-654) Title II: Amendments to Chapter 73 of Title 38, United States Code Relating to the Department of Medicine and Surgery - Authorizes the Administrator to carry out a major program of recruitment training, and employment of veterans with various medical military occupation specialties in order to provide a complete medical and hospital service for the medical care and treatment of veterans and to assist in providing an adequate supply of health manpower to the nation. (Amends 38 U.S.C. 4101(b)) Establishes pay schedules for Assistant Chief Medical Directors, physicians and dentists, and nurses. Provides criteria on which nurses are to receive additional compensation. Enumerates restrictions on physicians, dentists, and nurses, including requirements that no such person may: (1) assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Veterans' Administration facility, except in those cases where the individual, upon request and with the approval of the Chief Medical Director, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed one hundred and eighty calendar days, which may be extended by the Chief Medical Director for additional periods not to exceed one hundred and eighty calendar days each; (2) teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with his responsibilities under this title; and (3) perform, in the course carrying out his responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for his personal benefit, or both. Provides that temporary full-time appointments of personnel, other than physicians, dentists, and nurses, shall not exceed one year. (Amends 38 U.S.C. 4114(a)(3)(A)) Provides that the Administrator may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and participating with the Veterans' Administration in the training of interns or residents to provide for the central administration of stipend payments, provision of fringe benefits, and maintenance of records for such interns and residents by the designation of one such institution to serve as a central administrative agency for this purpose. Permits the Administrator to pay to such designated agency, without regard to any other law or regulation governing the expenditure of Government moneys either in advance or in arrears, all amount to cover the costs for the period such intern or resident serves in a Veterans' Administration hospital. (Adds 38 U.S.C. 4114(b) (2)) Title III: Amendments to Chapter 81 of Title 38, United States Code _ Acquisition and Operation of Hospital and Domicilliary Facilities; Procurement and Supply - Requires the Administrator to provide for no less than an average of 98,500 operating beds in Veterans' Administration Hospitals and to maintain an average daily patient census in such beds of no less than 85,500 in any fiscal year. Authorizes the Administrator to establish and operate not less than eight thousand beds for the furnishing of nursing home care to eligible veterans over which the Administrator has direct and exclusive jurisdiction. (Amends 38 U.S.C. 5001(a)) Requires the Administrator to appoint an Advisory Committee on Structural Safety of Veterans' Administration Facilities to advise him on all matters of structural safety in the construction and remodeling of Veterans' Administration facilities. (Amends 38 U.S.C. 5001(b)) Title IV: Miscellaneous Amendments to Title 38 United States Code - Specifies certain miscellaneous amendments to title 38 of the United States Code. Title V: Effective Dates - Specifies the dates on which the provisions of this Act shall become effective.
Bill· SS. 1875 (93rd)passed
United States · United States Congress · 23 May 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the establishment of a Rehabilitation Services Administration and to authorize specified programs. Establishes within the Department of Health, Education and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of HEW under this Act. Authorizes the inclusion of appropriations under this Act in the appropriation Act for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds, pursuant to regulations prescribed by the President. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - Part A: General Provisions - Authorizes to be appropriated in order to make grants to States under part B of this title $590,000,000 for fiscal year 1973; $610,000,000 for fiscal year 1974, and $640,000,000 for fiscal year 1975. Authorizes to be appropriated for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals $35,860,000 for fiscal year 1973. $37,000,000 for fiscal year 1974; and $39,000,000 for fiscal year 1975. Sets forth conditions which shall be included in a State plan for vocational and comprehensive rehabilitation services submitted to the Commissioner for approval under this title. Provides for judicial review of an adverse decision of the Commissioner with respect to a State plan submitted for approval under this title. Part B: Basic Vocational and Comprehensive Rehabiliation Services - Provides for the allocation of the funds appropriated under Part A for Part B to the several States. States that the allocation to any State shall not be less than l/4 of 1 percent of the amount appropriated, or $2,000,000, whichever is greater. Provides that for each fiscal year the Commissioner shall pay to each State from each State's allotment an amount equal to the Federal share of the cost of vocational rehabilitation services under an approved State plan. States that this payment shall not exceed such State's allocation under this part. Requires the Commissioner to set aside funds in an amount between $500,000 and $l,500,000 for fiscal year 1973, and up to $2,500,000 but no less than $1,000,000 annually for fiscal years 1974-1975, to establish a system of client assistance pilot projects to advise clients of benefits available under this Act. Part C: Innovation and Expansion Grants - Entitles States to grants for special programs to expand vocational rehabilitation services to individuals with the most severe handicaps, particularly those who are poor and responsibility for whose treatment is shared by the State. Sets forth provisions for allotments among the States. Directs the Commissioner to conduct a comprehsensive study, which may include a research and demonstration project of the feasibility of methods designed to prepare and assist individuals with the most severe handicaps for entry into programs under this Act. States that the commissioner shall report the findings of the study, research, and demonstrations to the Congress and to the President together with such recommendations for legislative or other action. Title II: Research and Training - Provides that the Commissioner may make grants to, and contracts with, State public and nonprofit organizations to pay part of the cost of research projects which bear directly on the provision of services under this Act. Authorizes the Commissioner to make grants to pay all or part of the cost of specialized activities including the establishment and support of Rehabilitation Research and Training Centers and Rehabilitation Engineering Research Centers. Authorizes the Secretary to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services. Authorizes appropriations to carry out the purpose of this title. Title III: Special Federal Responsibilities - Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes to be appropriated for such grants and contracts $550,000 for fiscal year 1973, $500,000 for fiscal year 1974, and $500,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $10,300,000 for fiscal year 1973, $10,300,000 for fiscal year $l0,300,000 for fiscal year 1974, and $12,000,000 for fiscal year 1975. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of services or devices. Allows the Commissioner to make grants to pay up to 90 percent of the cost of projects or demonstrations for the provision of vocational or comprehensive rehabilitation services to handicapped individuals who are migratory agricultrual workers or seasonal farmworkers, and to members of their families who are with them. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes to be appropriated, for the purpose of making grants for special projects and demonstrations, as necessary $12,200,000 for fiscal year 1973, $15,000,000 for fiscal year 1974 and $17,500,000 for fiscal year 1975. Authorizes to be appropriated a total of $1,200,000 for construction for fiscal years 1973-1975, and such sums as necessary for operations for fiscal years 1973-1975 establishing and operating a National Center for Deaf-Blind Youths and Adults. Title IV: Administration and Program and Project Evaluation - Provides that, in carrying out his duties under this Act, the Commissioner shall: (1) cooperate with, and render technical assistance to, States in matters relating to the rehabilitation of handicapped individuals; (2) provide short-term training and instruction in technical matters relating to vocational and comprehensive rehabilitation services; and (3) disseminate information relating to vocational and comprehensive rehabilitation services, and otherwise promote the cause of the rehabilitation of handicapped individuals and their greater utilization in gainful and suitable employment. Directs the Secretary to measure and evaluate the impact of all programs authorized by this Act. Title V: Miscellaneous - Provides that the Vocational Rehabilitation Act is repealed ninety days after the date of enactment of this Act. Establishes an Interagency Committee on Handicapped Employees to insure the adequacy of hiring, placement, and advancement practices with respect to handicapped individuals by each department, agency, and instrumentality of the executive branch of Government. Establishes an Architectural and Transportation Barriers Compliance Board to investigate and examine alternative approaches to the architectural, transportation, and attitudinal barriers confronting handicapped individuals. Authorizes such appropriations as necessary for fiscal years 1973-1975 to carry out the duties and functions of the Board.
Bill· HRH.R. 8098 (93rd)referred
United States · United States Congress · 23 May 1973
Establishes a Fire Protection Assistance Administration. Authorizes such Administration to make annual grants to any fire protection district or department for the purposes of maintaining, improving, or expanding its fire prevention and control, rescue, or other related functions. Sets forth conditions of elibility for such grants. Provides for the administration of the grant program. Provides that no annual grant under this Act may exceed $3,000,000. Establishes the National Fire Protection Advisory Council. Requires such Advisory Council to establish minimum training standards for fire prevention and control personnel. Requires such Advisory Council to study and report to the Administration the feasibility and desirability of a national clearinghouse for fire and rescue information. Provides that such Council shall cease to exist on June 30, 1976. Authorizes appropriations for fiscal years 1974, 1975, and 1976 to carry out this Act.
Bill· HRH.R. 8077 (93rd)referred
United States · United States Congress · 23 May 1973
Removes the limitations on payments for skilled nursing homes and intermediate care facilities under title XIX (Medicaid) of the Social Security Act.
Bill· HRH.R. 8078 (93rd)referred
United States · United States Congress · 23 May 1973
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.
Law· HRH.R. 8070 (93rd)open
United States · United States Congress · 23 May 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration, to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be headed by a Commissioner. Creates within such Administration a Center for Technology Assessment and Application, which is responsible for developing and supporting medical technology to solve rehabilitation problems. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds. Provides that States may submit consolidated rehabilitation plans under this Act and under the Developmental Disabilities Services and Facilities Construction Amendments of 1970. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $700,000,000 for fiscal year 1974, and $800,000,000 for fiscal year 1975 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated such sums as may be necessary for fiscal years 1974 and 1975 for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services; (3) vocational and training services; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf and reader services for the blind; (7) recruitment and training services; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and technological aids. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to pay a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Special Federal Responsibilities - Authorizes the Commissioner to make grants and contracts to assist in meeting the costs of projects for conducting research which bears directly on the methods of providing vocational rehabilitation services to the handicapped. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations to pay part of the cost of projects for training personnel in providing vocational rehabilitation services. Authorizes to be appropriated for such grants and contracts such sums as may be necessary for fiscal years 1974 and 1975. Authorizes the Commissioner to make grants to States and public or nonprofit agencies and organizations for paying part of the cost for construction of rehabilitation facilities, initial staffing and planning assistance. Authorizes appropriations of such sums as may be necessary for fiscal years 1974 and 1975. Authorizes the Commissioner to insure mortgages for rehabilitation facilities. Specifies conditions to be met prior to the issuance of any such mortgage. Authorizes the Commissioner to make annual interest grants for mortgages for rehabilitation facilities. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Authorizes appropriations of such sums as may be necessary for fiscal years 1974 and 1975 for the purpose of establishing and operating a National Center for Deaf-Blind Youths and Adults. Sets forth specific grants and contract requirements applying to all projects approved and assisted under this title. Title III: Administration and Program and Project Evaluation - Sets forth the functions of the Commissioner in carrying out his duties under this Act. Authorizes the Secretary to conduct studies, investigations and evaluations of programs authorized by this Act. Provides that the Secretary shall measure and evaluate the impact of all programs authorized by this Act in order to determine their effectiveness in achieving stated goals. Requires the Secretary to submit an annual report on such determination and review to the appropriate committees of the Congress. Authorizes appropriations to conduct such program and project evaluations. Requires the Secretary to submit an annual report to the President and to the Congress on the activities carried out under this Act. Provides for a study of the role of sheltered workshops in the rehabilitation and employment of handicapped individuals. Title IV: Office for the Handicapped - Establishes an Office for the Handicapped within the Office of the Secretary in the Department of Health, Education and Welfare. Provides that the Office shall be headed by a Director, who shall serve as a Special Assistant to the Secretary. Sets forth the functions of the Office. Authorizes to be appropriated for the purposes of this title such sums as necessary. Title V: Miscellaneous - Provides for the repeal of the Vocational Rehabilitation Act. Establishes a National Commission on Transportation and Housing for Handicapped Individuals. Sets forth the functions and duties of such Commission. Requires any contract in excess of $2500 entered into by any Federal department or agency for the procurement of personal property and nonpersonal services (including construction) for the United States to contain a provision requiring that, in employing persons to carry out such contract, the party contracting with the United States shall take affirmative action to employ and advance in employment qualified handicapped individuals. States that no otherwise qualified handicapped individual in the United States shall, solely by reason of his handicap, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance. Establishes an Architectural and Transportation Barriers Compliance Board to investigate problems of handicapped persons in the areas of architecture and transportation, and to make legislative recommendations to the President and the Congress.
Bill· HRH.R. 8057 (93rd)referred
United States · United States Congress · 22 May 1973
Provides that if Federal employee health insurance contract benefits include a service which is provided by licensed practitioners, that the Federal employee beneficiary, annuitant, or family member covered by such contract is free to select the health profession practitioner of his choice and have direct access to the practitioner, without supervision or referral by another health practitioner. (Amends 5 U.S.C. 8902).
Bill· HRH.R. 8017 (93rd)referred
United States · United States Congress · 22 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 8014 (93rd)referred
United States · United States Congress · 22 May 1973
Provides that the Secretary of Defense, after consulting with the Secretary of Health, Education, and Welfare, may contract with health maintenance organizations as identified by the Secretary of Health, Education, and Welfare. States that the provisions of such a contract may deviate from the cost-sharing arrangements prescribed and the types of health care authorized under title 10 of the United States Code when the Secretary of Defense determines that such a deviation would serve the purpose of that title. Provides that such a contract, however, may not provide for annual payments per beneficiary, by the Government and a beneficiary, of any amount greater than the estimated average annual cost for comparable amounts of care of similar quality provided under the cost-sharing arrangements prescribed in that title. (Adds 10 U.S.C. 1809)
Bill· HRH.R. 7993 (93rd)referred
United States · United States Congress · 22 May 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural vitamin, mineral, substance, or ingredient of any food supplement unless such article is intrinsically injurious to health in the recommended dosage; and (2) shall not require a warning label on any food supplement unless such article is intrinsically injurious to health in the recommended dosage.
Bill· HRH.R. 8011 (93rd)referred
United States · United States Congress · 22 May 1973
Removes the limitations on payments for skilled nursing homes and intermediate care facilities under title XIX (Medicaid) of the Social Security Act.
Bill· HRH.R. 7999 (93rd)referred
United States · United States Congress · 22 May 1973
Extends the program for health services for domestic agricultural migrant workers, under the Public Health Service Act, by authorizing appropriations for such programs of $60,000,000 for fiscal year 1974, $105,000,000 for fiscal year 1975, and $120,000,000 for fiscal year 1976. Authorizes appropriations of a total of $150,000,000 for fiscal year 1973-1977 for hospital care to domestic agricultural migratory workers and their families. (Amends 42 U.S.C. 242h)
Bill· HRH.R. 7995 (93rd)referred
United States · United States Congress · 22 May 1973
Authorizes the Secretary of Health, Education and Welfare to make grants to or enter into contracts with public or private nonprofit institutions to pay the Federal share of the cost of research, designed to identify the causes and to develop preventive measures to eliminate sudden infant death syndrome. Sets forth the activities for which a payment may be made under this Act. Provides that payment in any fiscal year to any single institution under this Act may not exceed $50,000. States that the Federal share of the cost of any activities for which application is made under this Act shall be 50 percent. Authorizes to be appropriated $2,000,000 for the fiscal year ending June 30, 1974, to carry out the provisions of this Act.
Bill· HRH.R. 8032 (93rd)referred
United States · United States Congress · 22 May 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural vitamin, mineral, substance, or ingredient of any food supplement unless such article is intrinsically injurious to health in the recommended dosage; and (2) shall not require a warning label on any food supplement unless such article is intrinsically injurious to health in the recommended dosage.
Bill· HRH.R. 8008 (93rd)referred
United States · United States Congress · 22 May 1973
National Health Research Fellowship and Traineeship Act - States that the purpose of this Act is to increase the capability of the National Institutes of Health and National Institute of Mental Health to maintain a national program of biomedical research. Establishes, under the Public Health Service Act, a national program of health research fellowships and traineeships for persons intending to enter research or teaching. Authorizes appropriations for the purposes of carrying out this Act.
Bill· HRH.R. 7974 (93rd)passed
United States · United States Congress · 21 May 1973
Health Maintenance Organization Act - Defines health maintenance organization as a public or private entity organized to provide basic and supplemental health services to its members. States that each member of such organization is to be provided basic health services for a basic health services payment which: (1) is to be paid on a regular basis without regard to the dates such services are provided; (2) is fixed without regard to the frequency, extent, or kind of health service furnished; and (3) is established under a community rating system. Authorizes the Secretary of Health, Education, and Welfare to make grants to, and enter into contracts with, public or nonprofit private entities for projects for surveys or other activities to determine the feasibility of developing or expanding health maintenance organizations which will serve residents of medically underserved areas. Provides that no grant may be made under this Act unless an application therefor has been submitted to, and approved by, the Secretary. States that such application shall be in such form, and submitted in such manner, as the Secretary shall by regulation provide. States that, in considering applications for feasibility grants and contract proposals under this Act, the Secretary shall give priority to applications and contract proposals for projects and health maintenance organizations which will serve residents of medically underserved areas. Provides that, if a feasibility project has been assisted with a grant or contract under this Act, the Secretary may not make any other grant or enter into any other contract for such project. Stipulates that any project under this Act must be completed within twelve months from the date the grant is made or contract entered into. Provides that the amount to be paid by the United States for a feasibility grant made, or contract entered into, under this Act shall be determined by the Secretary except that the amount to be paid by the United States for any single grant or contract shall not exceed $50,000. Authorizes $3,700,000 to be appropriated for fiscal 1974 and $500,000 to be appropriated for fiscal 1975 for the purpose of making payments pursuant to grants and contracts under this Act. Authorizes the Secretary to make grants to and enter into contracts with public or nonprofit private entities, and to make loans to public entities, for projects for the initial development of health maintenance organizations or for significant expansion of the membership of, or area served by, health maintenance organizations. Provides that no grant may be made under this Act unless an application therefor has been submitted to, and approved by, the Secretary. States that such application shall be in such form, and submitted in such manner, as the Secretary shall by regulation provide. States that, in considering applications for feasibility grants and contract proposals under this Act, the Secretary shall give priority to applications and contract proposals for projects and health maintenance organizations which will serve residents of medically underserved areas. Provides that, if a project has been assisted with a grant or contract under this Act, the Secretary may not make any other grant or enter into any other contract for such project. Stipulates that any project under this Act must be completed within twelve months from the date the grant is made or contract entered into. Provides that the Federal share of any such planning project grant or contract shall not exceed $125,000. Provides that the amounts to be paid by the United States for any initial development project for a health maintenance organization under any grant or contract, or both, when added to the amount of principal of any loans made or guaranteed under this Act for such project may not exceed the lesser of: (1) $1,000,000 or the product of $25 and the number of members that the health maintenance organization will have when it first becomes operational after its establishment or expansion, whichever is the greater; or (2) an amount equal to the greater of: (a) 90 percent of the cost of such project; or (b) in the case of a project for a health maintenance organization which will serve residents of a medically underserved area, up to 100 percent of such cost. Authorizes the appropriation of specified amounts for grants and loans for planning projects and initial development projects. Authorizes the Secretary to make loans and loan guarantees for initial operation costs for health maintenance organizations. Authorizes an aggregate of $50,000,000 to be appropriated for fiscal years 1974 and 1975 to carry out the purposes of this section. Authorizes Loan guarantees for construction projects. Authorizes grants for the enrollment of indigent persons in health maintenance organizations. Prescribes specific requirements to be met by an organization applying for such a grant. States that the amount of any grant under this section shall be determined by the Secretary, except that no grant shall exceed 50 percent of the annual income of such organization. Authorizes an appropriation of $11,000,000 for fiscal year 1975, $21,000,000 for fiscal year 1976, $24,000,000 for fiscal year 1977 and $15,000,000 for fiscal year 1978 in order to carry out the provisions of this program. Establishes and makes requirements for the following health maintenance organization projects: (1) demonstration grants and contracts for service in rural medically underserved areas and for enrollment of high risk individuals; (2) specified special project grants and contracts; and (3) grants for health maintenance organization management training. Provides that the Secretary shall evaluate all health maintenance organization projects established under this Act and make the results of such evaluation available to the general public and to the Congress on at least an annual basis. Provides that the United States shall be entitled to recover from an applicant for a loan guarantee under this title the amount of any payment made pursuant to such guarantee, unless the Secretary for good cause waives such right of recovery. States that guarantees of loans under this Act shall be subject to such terms and conditions as the Secretary determines to be necessary to assure that the purposes of this Act will be carried out. Authorizes the Secretary, with due regard to the financial interests of the United States, to sell loans made by him under this title. Establishes within the Treasury a loan guarantee fund which shall be available to the Secretary without fiscal year limitation, in such amounts as may be specified from time to time in appropriation Acts, to enable him to discharge his responsibilities under loan guarantes issued by him under this Act. Establishes programs for protecting health maintenance organizations against: (1) insolvency; (2) the cost of providing unusual amounts of health services or providing out-of-area health services; and (3) unusual losses. Provides that, if a State or political subdivision of a State refuses to permit a health maintenance organization to do business in such State because of a failure to meet local requirements, the Secretary may bring a civil action in the United States district court for the district in which such health maintenance organization is located to enforce compliance with this Act. Establishes a National Advisory Council on Health Maintenance Organizations to advise and assist the Secretary in carrying out his responsibilities under this Act. Requires the Secretary to make an annual report to the Congress on the programs of assistance under this Act.
Bill· HRH.R. 7937 (93rd)referred
United States · United States Congress · 21 May 1973
Repeals the limitation on Federal payments to States for skilled nursing home and intermediate care facility services under the medicaid program.
Bill· SS. 1845 (93rd)referred
United States · United States Congress · 17 May 1973
Drug Abuse Education Extention Act - Authorizes the Secretary of Health, Education, and Welfare to make grants to , or contract with, institutions of higher education, other public or private agencies, institutions, and organizations to support research, demonstration, and pilot projects designed to educate the public on problems related to drug abuse. Sets forth the activities for which funds may be made available. Provides that the Secretary may utilize up to 5 percent of the funds appropriated to carry out the act to pay reasonable and necessary expenses of State educational agencies for planning, development, and implementation of drug abuse education programs. Authorizes appropriations of $14 million for fiscal year 1974. Authorizes the Secretary to make grants or contracts with public or private nonprofit agencies, organizations, and institutions for community-oriented education projects on drug abuse and drug dependency. Authorizes appropriations of $14 million for fiscal year 1974. Provides that the Secretary and the Attorney General shall, when requested, render technical assistance to local educational agencies, public and private non-profit organizations, and institutions of higher education in the development and implementation of drug abuse education programs. Requires the Secretary to provide for thorough and independent evaluation, at least annually, of all drug abuse education projects and all community education projects funded under this Act. Requires the Secretary to make a comprehensive annual report to Congress on the immediate and long range merit of programs funded under the Act as well as recommendations for any legislative or programmatic changes necessary to make drug abuse education more effective. States that ten percent of the funds appropriated under this Act are reserved for evaluation.
Law· SS. 1836 (93rd)open
United States · United States Congress · 16 May 1973
Removes the limitation on the maximum number of members of the board of governors of the American Hospital of Paris.
Bill· SS. 1826 (93rd)referred
United States · United States Congress · 16 May 1973
Authorizes the Secretary of Health, Education and Welfare to establish an experimental program to provide for care for elderly individuals in their homes under the Social Security Act. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act.
Bill· SS. 1837 (93rd)referred
United States · United States Congress · 16 May 1973
Removes the limits on payments for skilled nursing homes and intermediate care facilities under Title XIX of the Social Security Act (Grants to States for Medical Assistance).
Bill· SS. 1825 (93rd)referred
United States · United States Congress · 16 May 1973
Provides for intermediate care services or extended care services for up to 100 days during any spell of illness under title XVIII of the Social Security Act (Hospital Insurance for the Aged). Reduces the amount payable for intermediate care services or extended care services by a specified coinsurance amount. Sets forth the conditions and limitations on payment for intermediate or extended care services. Sets forth the definition of the terms "intermediate care facility "and" intermediate care services" for the purposes of this Act. Provides for conforming technical amendments . Sets forth the procedure for payment of claims of providers of intermediate nursing care. Authorizes to be appropriated from general revenues of the Government to the Federal Hospital Insurance Trust Fund and to the Federal Supplementary Medical Insurance Trust Fund for each fiscal year, beginning with 1974, such amounts as may be necessary to reimburse such trust funds for 100 percent of the expenditures required to be made from such trust funds to carry out this Act.
Bill· SS. 1831 (93rd)referred
United States · United States Congress · 16 May 1973
Eliminates Title XIX (Grants to States for Medical Assistance Programs) of the Social Security Act those provisions relating to the provision of skilled nursing and intermediate care facility services under State plans approved under such title.
Bill· HRH.R. 7881 (93rd)referred
United States · United States Congress · 16 May 1973
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1973, and ending June 30, 1976, such sums as may be necessary to carry out the purpose of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hempophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of actions conducted under this Act.
Bill· HRH.R. 7871 (93rd)referred
United States · United States Congress · 16 May 1973
National Chronicare Demonstration Center Act - States that it is the purpose of this Act to establish demonstration programs to provide a basis for a commitment to a lasting national program for longterm health care for the chronically ill. Authorizes to be appropriated $15,000,000 for fiscal year 1974 and $15,000,000 for each of the next two succeeding fiscal years, to enable the Secretary of Health, Education, and Welfare to make grants to any public, nonprofit or proprietary private agency, institution, or organization or provider of services to cover all or any part of the cost of projects for the development or demonstration of several programs in representative areas of the country designed to care for and rehabilitate chronically ill inpatients of long-term health care facilities by testing the economic feasibility, efficiency and health care delivery system utilizing community chronicare health centers. Provides that to be eligible for a grant under this Act an applicant must give satisfactory assurances of the capability of providing the following: (1) diagnostic service; (2) inpatient care; (3) day care; (4) rehabilitation service (on both inpatient and outpatient basis); and (5) outreach service. Requires the Secretary to make a report to the President for transmission to the Congress within two years after the enactment of this Act stating the progress under this Act and making recommendations for further action if needed.
Bill· HRH.R. 7850 (93rd)referred
United States · United States Congress · 15 May 1973
Prohibits the use of appropriated Federal funds to carry out or assist research on living human fetuses which are outside of the mother's womb.
Bill· HRH.R. 7806 (93rd)passed
United States · United States Congress · 15 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) Health Services Research and Development; (2) National Health Surveys and Studies; (3) Public Health Training; (4) Migrant Health; (5) Comprehensive Health Planning and Services; (6) Assistance to Medical Libraries; (7) Hill-Burton Programs for Construction of Medical Library Facilities; (8) Training in the Allied Health Professions; (9) Regional Medical Programs; and (10) Population Research and Family Planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) Construction Assistance for Mental Health Centers; (2) Staffing Assistance for Mental Health Centers; (3) Alcoholism programs; (4) Drug Abuse programs; (5) Alcoholism and Drug Abuse programs; and (6) Mental Health of Children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Miscellaneous - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7822 (93rd)referred
United States · United States Congress · 15 May 1973
Provides for the continued operation of various Public Health Service hospitals in Seattle, New Orleans, Baltimore, San Francisco, Staten Island, Galveston, Norfolk, and Boston. Directs the Secretary of Health, Education and Welfare to take no action inconsistent with the policy set forth in this Act. Restricts the President and the Secretary from impounding funds appropriated for such hospitals.
Bill· HRH.R. 7844 (93rd)referred
United States · United States Congress · 15 May 1973
Allows a tax deduction under the Internal Revenue Code for all medical expenses (including medicine and drugs) paid during the taxable year, and not compenstated for by insurance or otherwise, for the care of any dependent who is the mother or father of the taxpayer or of his spouse, and has attained the age of 65 before the close of the taxable year. Allows a tax deduction for all medical expenses (including medicine and drugs) of the taxpayer and his spouse, if either has attained the age of 65 before the close of the taxable year. States that the amendments made by this Act shall apply with respect to taxable years ending after the date of enactment of this Act.
Law· HRH.R. 7724 (93rd)open
United States · United States Congress · 10 May 1973
National Biomedical Research Fellowship, Traineeship, and Training Act - Directs the Secretary of Health, Education, and Welfare to provide biomedical research fellowships, traineeships, and training at the National Institutes of Health, National Institute of Mental Health, non-Federal public institution, and nonprofit private institutions in matters relating to the cause, diagnosis, prevention, and treatment of the disease (or diseases) to which the activities of such Institutes are directed; and to make grants to public or nonprofit private institutions for traineeships in such matters. Sets forth requirements and regulations with regard to such fellowships, traineeships, and training. Authorizes appropriations for fiscal years 1974 and 1975 to carry out the purposes of this Act. Provides that the Secretary may not conduct or support research in the United States or abroad which violates any ethical standard respecting research adopted by the National Institute of Health, the National Institute of Mental Health, or their respective research institutes.
Bill· HRH.R. 7753 (93rd)referred
United States · United States Congress · 10 May 1973
Authorizes appropriations of $50,000,000; $110,000,000; and $160,000,000 for fiscal years 1973, 1974, and 1975, respectively for grants to Medical Schools to assist the development of projects to establish programs of education in the field of family medicine. Makes eligible for grants only the applicant which is a public or other non profit school, and which is accredited by a recognized body approved for such purpose by the Commissioner of Education. Specifies the conditions under which grants may be made under this act.
Bill· HRH.R. 7754 (93rd)referred
United States · United States Congress · 10 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7733 (93rd)referred
United States · United States Congress · 10 May 1973
Allows the Secretary of Defense, after consulting with the Secretary of Health, Education, and Welfare, to contract with health maintenance organizations in order to provide medical care for spouses and children of members of the Armed Forces, and after specified members, former members, and dependents. (Adds 10 U.S.C. 1089)
Bill· HRH.R. 7705 (93rd)referred
United States · United States Congress · 10 May 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· HRH.R. 7735 (93rd)referred
United States · United States Congress · 10 May 1973
Establishes, within the Department of Health, Education, and Welfare, a National Population Sciences and Family Planning Services Administration. Establishes, within the Administration, a National Center for Family Planning Services, to carry out a public information services program for planning and development, manpower development and training, supervision of field services, and grants management. Establishes, within the Administration, a National Institute for Population Sciences to carry out reproductive physiology research, contraceptive development and evaluation, operational research, social science research, and grants mangement. Provides that the Secretary of Health, Education and Welfare shall utilize the Administration to administer programs and research related to population and family planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Directs the Secretary, on January 1 after the Act, to make a report to the Congress setting forth a plan to be carried out over a period of 5 years for extention of family services, for research programs in reproductive physiology, contraceptive development and evaluation, the social sciences and operational research, for training of necessary manpower for services and research, and for carrying out the other purposes set forth in this Act. Authorizes the Secretary to make, through the Administration, grants to public agencies and nonprofit organizations and institutions to assist in the establishment and operation of voluntary family planning projects. Directs the Secretary to make grants to State health agencies to assist the States in planning, establishing, maintaining, coordinating, and evaluating family planning services. Provides that no funds appropriated under this system shall be used in a program where abortion is a method of family planning. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 to enable the Secretary to carry out the provisions of the two foregoing programs. Authorizes appropriations for manpower development and program planning and evaluation for fiscal year 1974 through fiscal year 1978 in order to implement the aforementioned family planning programs. States that, in order to promote research in the biomedical, contraceptive development, social science and operational research fields related to population and family planning the Secretary is authorized to make grants to public agencies and nonprofit organizations and institutions, and to enter into contracts with groups, associations, institutions, individuals, or corporations for the conduct of such research. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for the purpose of making grants and contracts under this section. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for project grants to assist in meeting the cost of construction and operation of centers for research relating to human reproduction, sterility, contraception, effectiveness of service delivery, population trends, and other aspects of, or factors which affect, population dynamics. States that applications for grants under this section shall be approved by the Secretary only if the applicant is an institution of higher education or other public or private nonprofit institution which the Secretary determines is competent to engage in the type of research necessary. Provides that the total of the grants with respect to such project shall not exceed 75 percent of the cost of the project. States that if within twenty years after completion of any construction for which funds have been paid under this section: (1) the applicant or other owner of the facility shall cease to be a public or private nonprofit institution; or (2) the facility shall cease to be used for the purposes for which it was constructed, unless the Secretary determines, in accordance with the promulgated regulations, that there is good cause for releasing the applicant or other owner from the obligation to do so, the United States shall be entitled to recover from the applicant or other owners of the facility amount bearing the same ratio to the value of the participation bore to the cost of the construction of the facility. Authorizes the Secretary to make project grants and to enter into contracts with public agencies and nonprofit organizations and institutions to assist in developing and making available family planning and population growth information to all persons desiring such information or materials. Authorizes the appropriation of specified sums for the fiscal years 1974 through 1978 for the purpose of making grants or entering into contracts under this section.
Bill· HRH.R. 7693 (93rd)referred
United States · United States Congress · 10 May 1973
National Healthcare Act - Title I: Findings and Declaration of Purpose - Declares the purpose of this Act to be to improve the organization, delivery, and financing of health care for all Americans by increasing health personnel, promoting ambulatory care, strengthening health planning, establishing national standards of health care benefits, including coverage for medical catastrophes, encouraging provisions of such benefits through comprehensive health care insurance, and by assisting persons of low income or in poor health to secure that insurance. Title II: Provisions to Increase the Supply and Improve the Distribution of Health Care Personnel - Allows a medical student to borrow the lesser of the sum of the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies, and other related costs, or $5,000. Authorizes $100 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Grants loans to student nurses covering the lesser of the sum of the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies and other related costs, or $3,500. Authorizes $75 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Provides that scholarship grants may, in accordance with regulations of the Secretary of Health, Education, and Welfare, be awarded, according to the needs of the individual, up to the full cost of his tuition, fees, books, equipment and living expenses. Authorizes for this purpose $50 million a year for fiscal years 1975, 1976, and 1977. Allows loans for students in the allied health professions covering the full cost of tuition fees, and reasonable amounts for room, board, books, supplies, and other related costs. Provides that up to half of the loan may be forgiven at the rate of 20 percent a year for service in a public or nonprofit private institution or agency and that up to 100 percent of the loan may be forgiven at the rate of 33 1/3 percent a year for appropriate service in an area designated as having a substantial shortage of allied health professionals. Authorizes $40 million for fiscal year 1975, $60 million for fiscal year 1976, and $75 million for fiscal year 1977 for this purpose. Includes junior colleges, colleges and universities which offer training in health care center administration or curriculums providing the allied health-professionals needed to operate comprehensive ambulatory health care centers within the training grant provisions of the Public Health Service Act. Establishes a new program of special project grants to help education institutions meet the cost of developing curriculums and training programs to develop the skills needed to administer and staff comprehensive ambulatory health care centers. Authorizes $40 million for fiscal year 1975, and $50 million a year for fiscal years 1976 and 1977 for this purpose. Establishes a program of Federal grants to medical personnel in return for service in urban and rural areas of critical need to alleviate the distribution of health care personnel. Authorizes the Secretary of Health, Education, and Welfare to contract with individual health professionals, nurses, or allied health professionals who agree to provide health care services for a period of at least two years in an area designated by the Secretary as having a critical need for those services. Provides that the amount of the grant is that amount which, when added to the recipient's income from providing health care services for each contract year, provides a total income equal to 110 percent of the national annual median income for persons of comparable education and training, or 110 percent of his earnings from providing health care services in the previous year, whichever is greater. Provides that in determining the precise amount of the grant the Secretary may consider such factors as he deems relevant, including: (1) the national median annual income for the applicant's profession; (2) the cost of living in the area of need; (3) the background, training, and education of the applicant; (4) the amount of income the applicant can reasonably expect to receive from service in the area; (5) the number of persons of applicant's profession needed in the area; and (6) where appropriate, cost of equipment, supplies, and facilities. Title III: Provisions to Encourage Comprehensive Ambulatory Health Care Centers - Provides grants to comprehensive ambulatory health care centers. Sets up a special category of grants to comprehensive ambulatory health care centers. Revises the declaration of purpose of title VI of the Public Health Service Act to recognize specifically the concept of a comprehensive ambulatory health care center. Provides that for fiscal years commencing after June 30, 1973 there is authorized an additional $200 million in grant authority to be used for the construction of comprehensive ambulatory health care facilities. Provides this sum through a new allotment category which is separate from existing allotment categories for construction and modernization of hospitals and other medical facilities. Provides that a portion of the funds available for grants hereunder be used to assist nearly-constructed facilities to pay initial start-up and operation expenses during the first three years of operation of such centers. Directs that funds available for the construction and modernization of comprehensive ambulatory health care centers will be allotted to the several States on the same basis as allotments now made for construction of hospitals and other medical facilities. Provides that transfers from allotments for the construction and modernization of comprehensive ambulatory health care facilities to allotments for the construction of other types of facilities are not authorized. Permits carryovers of unused allotments from one fiscal year to the other. Requires that priorities for awarding grants to comprehensive ambulatory health care centers be given to proposed facilities in densely populated areas now lacking such facilities. Provides that, in its evaluation of the health needs of its citizens, the State health planning agency would be required to determine as part of its planning process the number of comprehensive ambulatory health care centers needed in the State and a plan for distribution of such centers. Requires the adoption of a program providing for construction of those comprehensive ambulatory health care centers identified as needed in its State plan, or for modernizing such existing facilities. Adds comprehensive ambulatory health care centers to the list of types of health facilities from which recovery of Federal funds may be made by the Federal Government from facilities which no longer qualify. Adds comprehensive ambulatory health care centers to the list of types of facilities which qualify for Public Health Service Act loans, guarantees and interest subsidies for construction or modernization of health facilities. Defines comprehensive ambulatory health care centers to encompass only facilities which provide a wide range of preventive, diagnostic and treatment services for ambulatory patients. Title IV: Provisions to Strengthen Health Care Planning - Provides that the President shall make a health report to the Congress no later than July 1 of each year on the status of the nation's health needs and health care system with a program for meeting those needs. Creates a three-man Council of Health Policy Advisers in the Executive Office of the President, its members appointed by the President with the advice and consent of the Senate. Authorizes the Council to hire officers, employees and such experts and consultants as may be needed. Requires the Council to make an annual health report to the President not later than April 1 of each year to be transmitted to the Congress as a supplement to the next Health Report of the President to the Congress. Provides that in its first report to the President the Council shall specifically review and advise the President on health programs. Requires the Council to develop and recommend goals for a national health policy to promote efficiency, eliminate waste and duplication in the utilization of health facilities and resources, and to recommend specific programs to streamline and consolidate health manpower programs. Directs the Council to consult with the National Advisory Health Council, and other advisory councils or committees as well as such representatives of the private sector as it deems advisable and to utilize the services, facilities and information of other public and private organizations to the fullest extent to avoid unnecessary overlapping or duplication of effort. Provides that the Chairman shall be compensated at the rate of Level II and the other members at the rate of Level IV of the Executive Schedule Pay Rates. Authorizes such sums as are needed to enable the Council to function, not to exceed $1 million in any fiscal year. Requires every agency of the Federal Government to include, to the fullest extent possible, in each report on proposals for legislation or other major Federal action significantly affecting health or the health care system, the impact of the proposal on the nation's health care system, adverse effects, alternatives, the relative priority established by the Council of Health Policy Advisers, and any irreversible or irretrievable commitments of resources involved. Provides that in order to qualify for the comprehensive health planning grants that a State plan for comprehensive State health planning must, in addition to existing requirements, provide for the project certification procedures established by this Act. Increases the funds authorized for project grants for areawide health planning to $100 million for fiscal year 1975. Directs that to be eligible for the grants the agency must be prepared to function as the "appropriate comprehensive health planning agency" for the area or region. Requires the agency to be prepared to play a strengthened role in coordinating areawide health affairs, including the determination of health needs, capital expenditures programs, cooperative use of facilities, optimum use of available manpower and improved management techniques. Requires the agency to provide for consultation with the areawide health planning council and other groups, for the representation of health care facilities and physicians for enlisting public support, and for educating the public concerning the proper use of facilities and services available. Provides that, in the case of applications for Federal grants, loans, or other financial aid involving more than $100,000 which require certification by the appropriate comprehensive health planning agency, the application may be approved by the Secretary only after he is satisfied that the review provisions of this title have been met. Requires that the agency have reasonable opportunity to review and comment on the application and has certified to its essential need and high priority. Provides that if the "appropriate comprehensive health planning agency" is a metropolitan or other local planning agency, that agency, after reviewing the application, must have communicated its comments to both the applicant and the State agency. Directs the State planning agency to make its own determination that the application fits in with the State's overall needs and priorities as expressed in the State plan. Requires that if two or more States are involved, each State agency must make a separate certification as to the need and priority of the project in its State. Provides that in the case of a project affecting an entire State, the appropriate comprehensive health planning agency is the agency designated in the State plan. Provides that in the case of a project affecting a region, metropolitan area, or other local area, the appropriate comprehensive health planning agency is the areawide comprehensive health planning agency or such other public or nonprofit private agency determined in accordance with regulations to be performing the required health planning functions. Title V provisions to make comprehensive health care insurance available to all requires that benefits paying for not less than the health care required under the minimum standards must be included in private or State established health care plans as a condition of eligibility for the Federal tax or other public financial assistance accorded under this bill. Permits additional benefits and allows a qualified private health care plan to provide for a covered individual's payment of medical expenses exceeding established deductible and co-payment standards. Permits qualifying health care plans to include various other optional provisions. Assures that the minimum standards of health care required to be provided to needy and uninsurable individuals will be no less than those required for others. Assigns one of three "priority designations" to each of the benefits covered and requires benefits in the several priority categories to be phased-in in accordance with a schedule prescribed in the law. Authorizes the President, under restricted conditions stated in the law, to defer the scheduled time for phase-in benefits under this title. Specifies the initial minimum standard healthcare benefits for individuals covered under qualified private plans and those for individuals covered under qualified public plans. Revises the Internal Revenue Code to restrict the Federal income tax deduction otherwise allowable to an employer for any amount paid or incurred by the employer for medical care of any employee or his dependents. Restricts this deduction to 50 percent of the described expense for the medical care of the employee if the amount is incurred in 1975, 75 percent if the amount is incurred in 1976, and 100 percent thereafter. Provides that if the employer establishes and maintains a qualified employee healthcare plan the restriction will not apply, and 100 percent of the described expense is deductible. Applies such provision to taxable years after December 31, 1974, except that, in the case of any employer plan providing medical care for employees which was established pursuant to a collectively-bargained agreement, the restrictions on the deduction will not apply until the expiration of the agreement, or December 31, 1977, whichever occurs first. Requires that each qualified employee healthcare plan provide at least the minimum standard healthcare benefits described in this Act and be in writing, adopted by the employer, and communicated to his employees. Requires that a coordination of benefits provision be included in a qualified plan to avoid costly duplication of coverage and the plan must permit eligible employees to seek coverage instead from any approved health maintenance organization in cases where specified conditions are satisfied. Allows 100 percent of medical care insurance premiums as an income tax deduction, if such expenses are paid by an individual who is covered by a qualified individual healthcare plan, a qualified employee healthcare plan, or a qualified state healthcare plan. Requires that each qualified individual healthcare plan provide at least the minimum standard healthcare benefits described in this Act. Requires that a qualified individual insurance contract contain provisions which obligate the insurer to renew the policy, and allows covered dependents to continue their coverage under the policy after the death of the insured as if he were still alive. Adds a new title XX to the Social Security Act to provide for the establishment of publicly subsidized health care insurance plans on a State by State basis. Provides that each State will have a health insurance pool, which all private entities in that State (both profit and non-profit) which currently indemnify the cost of health care would be required to underwrite. Directs that one or more private insurance carriers will be designated by the State to administer the State plan on a retention accounting basis. Provides that these State plans will guarantee that minimum standard healthcare benefits are made available to individuals and families who previously were unable to purchase health care insurance, either because of their low income or their extremely poor health. Provides that, in order to encourage a State to establish a plan, Federal appropriations otherwise payable to the State pursuant to titles V and XIX of the Social Security Act are conditioned on the State having in operation a Qualified State Healthcare Plan. Provides that individuals or families who are eligible to receive public cash assistance under a program financed in whole or in part by Federal funds will be enrolled in the State plan automatically, and without cost. Permits those individuals who are financially capable of procuring health insurance, but who are uninsurable because of poor health, to enroll in the State plan at their own expense; however, these individuals may not be charged more than the established rate for other individuals enrolled in that State plan. Provides that enrollment of other individuals and families who had low incomes the previous year (less than $4,000 for single individuals, less than $6,000 for a family of two, and less than $8,000 for a family of three or more) is voluntary. Allows such individuals and families to elect to be enrolled once each year and requires them to make contributions toward the cost of insuring their own health care, depending on the size of their family and the amount of their income. Provides that the premiums to be charged for each policy year under a State plan will be actuarially determined in each State, and for each family size risk category. Directs that if the established premiums are found to be unjustified within a particular State, the Secretary of Health, Education, and Welfare may direct a reduction in the Federal appropriation for that State's premium cost. States that each State has the primary obligation to provide the uncontributed premium cost for its plan; but if the State implements and utilizes controls which are designed to promote the delivery of lower-cost, higher-quality institutional health care services, if it exempts qualified state healthcare plan transactions from State taxation, and if it eliminates discriminatory State tax treatment of health care insurers, then the State will receive Federal appropriations reimbursing it for a percentage of its total uncontributed premium cost. Provides that the base figure may be between 70 and 90 percent, depending on the State's per capita income, but further adjustments to this percentage may be made if institutional rates charged in any particular State for health care services are unjustifiably high in comparison with other States. Gives States the authority to review in advance the rates to be charged by health care institutions for their services, and to refuse to approve these rates for payment under the State plan. Provides that a professional service, otherwise covered by these State plans, shall be reimbursed only if it falls within professionally established utilization guidelines or is found to be necessary health care by a qualified peer review committee. Asserts that no charge for a necessary service shall be reimbursed to the extent that it exceeds the prevailing charge in a locality for similar services. Provides that if the premiums collected and other monies received under the State plan are not sufficient to pay the claims incurred and the other costs of operating the State plan, the private underwriters of the plan shall bear the losses to the extent of 3 percent of the premiums collected for that year. Directs the State to bear the excess losses equal to the base Federal percentage for that State's premium costs. Provides that enrollment is not available to those individuals or families covered under a qualified employee healthcare plan. Provides that applicants for enrollment in the State plan must provide and certify all information required to make an eligibility determination. States that any Federal or State agency may be required to furnish information deemed by the administering carrier to be necessary to verify eligibility. Revises title V of the Social Security Act (Maternal and Child Health and Crippled Children's Services) to avoid unnecessary and costly duplication of federally subsidized health care programs. Excludes payment for items and services now covered under title V of the Social Security Act if they also would be covered under a qualified state healthcare plan. Provides that title V will continue to pay for items and services which are not covered by qualified state healthcare plans. Revises title XVIII of the Social Security Act to remove existing limitations on Medicare Part B enrollment which prevent otherwise eligible State plan enrollees from qualifying for qualified State healthcare plan to pay the premium for supplementary medical insurance benefits under Part B of title XVIII of the Social Security Act for individuals and families who are eligible to enroll in the Part B program and who are also eligible to receive public cash assistance under a federally financed program. Revises title XVIII to allow a State to enter into an agreement with the Secretary of Health, Education, and Welfare pursuant to which all of these indigent State plan enrollees will be enrolled under the program established by Part B of title XVIII. Revises title XIX of the Social Security Act (Grants to States for Medical Assistance Programs) to avoid unnecessary and costly duplication of federally subsidized health care programs. Provides that on July 1, 1975, or upon a State's establishment of a qualified State healthcare plan, whichever occurs first, payment for items and services now covered under title XIX would be excluded if they would be covered under a qualified state healthcare plan. Directs that title XIX will continue to pay for items and services which are not covered by qualified State healthcare plans. Establishes standards for the quality and cost to enrollees for health care service provided by physicians or other medical practitioners and for health care services rendered to State plan enrollees in health care institutions. Provides that these standards shall apply to determine "reasonable cost" under the existing federally subsidized health care programs established by title V, XVIII, and XIX of the Social Security Act. Requires that the premiums and other monies received pursuant to the operation of a qualified State healthcare plan will, to the extent feasible, be invested by the administering carrier in interest-bearing obligations and other income-yielding securities. Exempts this interest or other income from Federal income taxation. Requires insurance carriers to pool their efforts and resources to insure that all individuals and families will receive higher-quality, lower-cost health care benefits. Provides that these carriers will not be subject to Federal or State antitrust legislation solely as a result of their efforts to comply with the provisions of this Act.
Bill· HRH.R. 7748 (93rd)referred
United States · United States Congress · 10 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Resolution· HCONRESH.Con.Res. 216 (93rd)referred
United States · United States Congress · 10 May 1973
Makes it the sense of Congress that: (1) equally rigorous economics shall be applied by congressional review to military, foreign assistance, space programs, and unwarranted tax preferences; and (2) Congress shall set as a target for action by the relevant committees with respect to the proposed Federal budget for fiscal 1974: (a) the realization of savings of $5,000,000,000 to $7,000,000,000 by paring unneeded weapons development, by reducing excessive forces in the military, and by economizing in foreign assistance and space programs, and (b) the elimination of unwarranted tax preferences in the Internal Revenue Code, to produce additional revenues of $5,000,000,000 to $7,000,000,000. Declares that these budgetary resources shall be redirected to promote full employment, quality education and health care for citizens, environmental protection, safe and improved living conditions in urban and rural areas, and equal opportunities for all Americans.
Bill· SS. 1768 (93rd)referred
United States · United States Congress · 9 May 1973
Commission on Mental Health and Illness of the Elderly Act - Establishes a temporary commission to be known as the Commission on Mental Health and Illness of the Elderly. Provides that such Commission shall exist for a period not to exceed five years. States that it shall be the duty of the Commission to: (1) develop a national policy for the proper maintenance of mental health for aged and aging persons and the care and treatment of mental illness for such persons; (2) undertake studies to assess future needs for mental health facilities, manpower, research, and training to meet the mental health care needs of aged and aging persons; (3) submit to the President for transmittal to Congress an annual report describing major developments concerning the treatment and care of elderly persons suffering from mental illness, identifying priority issues, and propose recommendations for solving these problems; (4) recognizing that proper physical health and proper mental health are inseparable, evaluate present mental health programs to determine whether such programs are responsive to the needs of aged and aging persons; (5) develop priorities for programs designed to increase knowledge about various aspects of mental illness among aged and aging persons; and (6) cooperate with the executive and legislative branches for the purpose of implementing the policy proposals recommended at the 1971 White House Conference on Aging. Provides that the Commission shall be composed of nine members to be appointed by the President, by and with the advice and consent of the Senate. States that the Commission shall include at least one member from each of the fields of psychology, psychiatry, social science, social work, and nursing. Sets forth the powers and authority of the Commission. Establishes an Advisory Council on Mental Health and Illness of the Elderly to be composed of nine members appointed by the President for terms of two years. Provides that the Council shall advise the Commission on policy matters relating to mental health and illness. Provides that the Commission shall cease to exist sixty days after the submission of its final report. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act.
Bill· HRH.R. 7641 (93rd)referred
United States · United States Congress · 9 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.