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301 records in US in 1989
United States · United States Congress · 2 May 1989
Designates the week beginning October 8, 1989, as National Infertility Awareness Week.
United States · United States Congress · 27 April 1989
Amends part B (Peer Review) of title XI of the Social Security Act to require peer review organizations to give providers whose services are denied coverage under title XVIII (Medicare) of the Act an opportunity for reconsideration of the determination before patients and organizations responsible for paying claims are notified of such determination.
United States · United States Congress · 26 April 1989
Emergency Nurse Shortage Relief Act of 1989 - Amends title VIII (Nurse Education) of the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants for programs to: (1) promote nursing as a career, including promotion in public secondary schools; (2) identify and provide internships to students in such schools who show an interest in health care; and (3) recruit nursing students from groups not traditionally well represented in the profession. Authorizes appropriations. Authorizes the Secretary to make grants for programs to: (1) encourage and assist non-practicing nurses to reenter the profession; (2) train nurses as nurse practitioners or nurse midwives or in areas of needed specialized nursing skills; and (3) provide tuition assistance to students in educational programs designed to facilitate reentry. Authorizes appropriations. Authorizes the Secretary to make grants for programs to: (1) increase the attractiveness of nursing as a career through changes in wage structures, employment options and benefits, and the role of nurses in health care facilities; and (2) demonstrate innovative methods of providing for career advancement and encourage nurses and nurse assistants to continue nursing education. Authorizes appropriations. Authorizes the Secretary, subject to appropriations, to establish a program to insure educational loans to individuals with a degree as a registered nurse for educational expenses related to training nurses as nurse practitioners or nurse midwives or in areas of needed specialized nursing skills. Makes provisions of the Federal Program of Insured Loans to Graduate Students in Health Professions Schools, established by current law in the Public Health Service Act, apply to this program except as inconsistent. Authorizes the Secretary, subject to appropriations, to enter into agreements with eligible individuals to assist in repaying specified amounts of their eligible educational loans. Sets forth criteria for an individual to be eligible to receive assistance, including a requirement that the individual agree to work full-time as a registered nurse in a nursing crisis area. Sets forth a schedule for loan repayment by the Secretary to the holder of the loans based on the number of years of work completed as agreed. Amends the Internal Revenue Code to allow C corporations a tax credit for 20 percent of the amount paid or incurred as qualified nursing scholarships. Directs the Attorney General to extend for at least one additional year the status of nonimmigrant alien for those aliens admitted under specified provisions of the Immigration and Nationality Act who perform services as registered nurses in a nursing crisis area, provided the Secretary of Labor has certified that the continuing employment of the aliens will not adversely affect the wages and working conditions of U.S. registered nurses. Amends title VIII (Nurse Education) of the Public Health Service Act to direct the Secretary of Health and Human Services to designate areas that have: (1) a severe shortage in the number of nurses as nursing crisis areas; and (2) a shortage of practicing nurses with specialized nursing skills as areas of needed specialized nursing skills. Directs the Secretary to review and, if necessary, redesignate such areas at least annually.
United States · United States Congress · 26 April 1989
Amends Federal law relating to the provision of books for the adult blind to provide that the certification of dyslexia, for purposes of eligibility for a loan of books published on sound reproduction recordings, may be made by a competent authority only through the use of a test: (1) approved by the Director of the National Institutes of Health; and (2) administered by an individual (who does not have to be a doctor of medicine) qualified to administer and evaluate such a test.
United States · United States Congress · 26 April 1989
Mandates that each State, by December 31, 1990, have in effect laws and regulations requiring any health insurance policy issued within the State to provide certain minimum coverage for drug and alcohol abuse treatment. Requires such rules and regulations to meet minimum Federal standards established by the Secretary of Health and Human Services. Directs the Secretary: (1) within 90 days after enactment of this Act, to establish such standards; and (2) within 90 days after establishment of such standards, to review the laws and regulations of each State. Makes the Federal standards effective in any State which does not have in effect such laws and regulations by December 31, 1990.
United States · United States Congress · 25 April 1989
Drug Abuse Treatment Policy Act of 1989 - Prohibits the expenditure of any Federal funds or the provision of advice by any Federal officer or employee with respect to any program of distributing needles for the injection of any illegal drug or distributing bleach for cleansing needles for such injection. Prohibits any narcotic treatment program from providing any narcotic to treat any individual for dependence on heroin or any similar drug unless the program provides a comprehensive range of rehabilitative services, including counseling. Allows an exception for certain short-term detoxification programs. Prohibits the Secretary of Health and Human Services and the Attorney General from authorizing a program for narcotic addiction treatment involving the provision of methadone under the terms and conditions proposed on a specified date, as published in the Federal Register.
United States · United States Congress · 25 April 1989
Amends title XVIII (Medicare) of the Social Security Act to prohibit recognizing as reasonable costs any amounts for the direct costs of approved educational activities for approved medical residency training programs of a provider unless the provider has in effect: (1) an approved residency training program in the field of geriatric medicine; and (2) a two-year medical fellowship program in the field of geriatric medicine. Directs the Secretary of Health and Human Services to assign to each hospital and skilled nursing facility a number of two-year fellowships that an institution must maintain to meet the above requirement.
United States · United States Congress · 25 April 1989
Amends the Federal Food, Drug, and Cosmetic Act to regulate the compensation received by investigators testing medical devices.
United States · United States Congress · 25 April 1989
Directs the Secretary of Health and Human Services to conduct a clinical trial in order to determine the efficiency and economic feasibility of providing Medicare (title XVIII of the Social Security Act) coverage for personal emergency response systems. Requires each personal emergency response system to include, for purposes of the clinical trial: (1) communication equipment located in the home which transmits signals for emergency medical assistance over the telephone; (2) a local response center to monitor such signals; and (3) medical personnel or other persons to provide emergency medical assistance. Appropriates specified amounts from the Federal Hospital Insurance Trust Fund in FY 1989 and 1990 to carry out this Act. Directs the Secretary to transmit to the Congress a report containing the findings and conclusions of the clinical trial, along with any legislative recommendations.
United States · United States Congress · 25 April 1989
Prohibits any individual from obtaining a position as a graduate medical student or a physician in any federally funded hospital or medical facility if such individual's license to practice medicine was procured through an intentional misrepresentation of a material fact (including cheating on an examination required for licensing).
United States · United States Congress · 25 April 1989
Amends title XVIII (Medicare) of the Social Security Act to require the Director of the Office of Technology Assessment to annually review changes affecting the cost of surgical procedures for the implantation of artificial devices and organs for which Medicare makes payments: (1) in medical technology, skill, and procedures; and (2) in the costs of artificial devices and organs. Requires the Director to recommend to the Secretary of Health and Human Services changes in the amounts that should be recognized as reasonable for purposes of Medicare payments.
United States · United States Congress · 25 April 1989
Authorizes and directs the President to call on representatives of the broadcasting industry, in cooperation with public health organizations, to provide free air time to private and government organizations for antismoking public service announcements which educate the public about the dangers of cigarette smoking.
United States · United States Congress · 25 April 1989
Declares that it is the sense of the Congress that: (1) any proposal to distribute needles to drug addicts in order to curb the spread of acquired immune deficiency syndrome (AIDS) should be rejected; and (2) Federal AIDS policy should include a strong public education component and discourage behavior which increases exposure to the AIDS virus.
United States · United States Congress · 19 April 1989
FDA Revitalization Act - Title I: Power of FDA Over Real Property, Buildings, and Facilities - Amends the Federal Food, Drug, and Cosmetic Act (FDCA) to grant the Secretary of Health and Human Services specified powers in connection with real property, buildings, and facilities (such as acquiring and disposing of property, leasing buildings, and accepting gifts) to facilitate the transaction of the business of the Food and Drug Administration (FDA). Title II: Senior Scientific Health Service - Amends the Public Health Service Act to authorize the establishment of a Senior Scientific Health Service, outside the competitive civil service, whose members may be appointed based solely on distinction and achievement in the fields of biomedical research or clinical research evaluation. Amends Federal law relating to physicians' comparability allowances to include any physician or dentist who is paid under provisions of this title. Title III: Recovery and Retention of Fees for FOIA Requests - Amends the FDCA to authorize the Secretary, through the Commissioner of Food and Drugs, to charge fees to recover direct and indirect costs incurred in processing Freedom of Information Act requests for records obtained or created under the Act. Title IV: Small Business Training and Technical Assistance - Amends the FDCA to authorize the Secretary, through the Commissioner, to establish an office to provide technical and other nonfinancial assistance to small manufacturers of medical devices, drugs, cosmetics, and foods to assist the manufacturers in complying with the Act. Authorizes appropriations for FY 1990 through 1992. Title V: Biotechnology Demonstration Project - Directs the Secretary to establish a demonstration project allowing the use of the facilities of any public or private cooperative with the permission of and in conjunction with the cooperative to promote the development of biotechnology. Authorizes appropriations for FY 1990 through 1992. Title VI: Training and Loan Repayment Programs - Authorizes grants to public or nonprofit academic institutions, including schools of medicine, dentistry, pharmacy, and food science, to enable such institutions to develop core curriculum programs to train individuals in the field of regulatory review. Requires obligated service of grantees as FDA employees. Authorizes appropriations for FY 1990 through 1992 for such grants. Directs the Secretary to establish a loan repayment program under which the Secretary must repay loans incurred by individuals to obtain training in regulatory review in exchange for the individuals serving a period of time as employees of the FDA. Directs the Secretary to: (1) issue regulations to carry out these provisions; and (2) carry out the program, to the extent practicable, in a manner that is consistent with the National Health Service Corps Loan Repayment Program. Authorizes appropriations for FY 1990 through 1992. Title VII: Scientific Review Groups - Authorizes the Commissioner of Food and Drugs to establish such technical and scientific review groups as necessary to carry out the functions of the FDA. Title VIII: Human Food Safety, Technology, and Nutrition Advisory Committee - Directs the Secretary to establish the Human Food Safety, Technology, and Nutrition Advisory Committee to advise the Secretary and the Commissioner of Food and Drugs on issues involving food for human consumption, including: (1) food technology and production; (2) food research and development; (3) biotechnology and food products; (4) food safety; (5) the relationship between diet, nutrition, and health; and (6) health-related claims for food. Title IX: Automation of FDA - Directs the Secretary, through the Commissioner, to automate appropriate activities of the FDA to ensure timely review of activities regulated under the FDCA. Authorizes appropriations. Title X: Compensation and Employment Requirements for FDA and EPA Scientists - Requires the Director of the Office of Personnel Management to ensure, to the extent practicable, that the level of compensation and employment requirements are comparable for scientists employed by the FDA and by the Environmental Protection Agency. Title XI: Funding Floor for FDA - Declares that, notwithstanding any other provision of law, there shall be appropriated no less than a specified amount each fiscal year for the activities of the FDA.
United States · United States Congress · 19 April 1989
Radiation Exposure Compensation Act - Establishes in the Treasury the Atmospheric Nuclear Testing Compensation Trust Fund for claims for injuries and death due to exposure to radiation from nuclear testing or uranium mining in Utah, Nevada, Arizona, Colorado, and New Mexico during certain time periods. Confers exclusive jurisdiction upon the Atmospheric Nuclear Testing Compensation Trust Fund Board of Directors to process personal injury claims and payments. Subjects any findings and awards made by the Board to judicial review. Prescribes guidelines for Board determination of compassionate claims relating to open air nuclear testing and uranium mining in specified areas. Sets forth a statute of limitations for filing claims and restricts the amount of attorney's fees which may be received. Insulates the award of damages from insurance claims or payments. Declares the Federal Tort Claims Act inapplicable to radiation compensation actions and imposes liability upon the United States regarding such claims to the same extent as a private individual under like circumstances.
United States · United States Congress · 19 April 1989
Drug Utilization Review Act of 1989 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to require the establishment of a Drug Utilization Review System (system) providing participating pharmacies, pharmacists, and dispensing physicians with prompt 24-hour electronic access to a medication profile for each Medicare beneficiary for whom they prescribe a covered outpatient drug. Requires that such system identify potential adverse drug reactions that may result from: (1) the interaction of the prescribed drug with other drugs being used by the beneficiary and with a known allergy, physical condition, or illness presented by the beneficiary; and (2) misuse of the prescribed drug. Requires that participating pharmacies, pharmacists, and dispensing physicians having access to the system agree that: (1) no beneficiary will be required to disclose medication profile information as a condition of receiving benefits; (2) the beneficiary's medication profile will not be accessed without the beneficiary's specific and voluntary authorization; (3) data acquired will not be disclosed to anyone other than the beneficiary, except when consultations between those involved in the beneficiary's health care are medically necessary; and (4) each beneficiary shall receive written notice of such requirements. Penalizes, by fine and/or imprisonment, those guilty of the unauthorized disclosure of medication profile information. Authorizes appropriations. Directs the Secretary of Health and Human Services to conduct a study and report to the Congress by October 1, 1992, on the efficacy of expanding the system to include all Medicare-eligible outpatients who are inpatients and information on over-the-counter drugs and biologicals.
United States · United States Congress · 18 April 1989
Amends title VII (Administration) of the Social Security Act to place the Office of Rural Health Policy in the Office of Assistant Secretary for Health of the Department of Health and Human Services. Places the Deputy Assistant Secretary for Rural Health at the head of the Office of Rural Health Policy. Requires the Deputy Assistant Secretary to implement a grant program to establish and support rural health research centers located at public and nonprofit entities which will provide an information base and policy analysis capacity on issues of rural health. Authorizes appropriations for such program and for the Office of Rural Health Policy for FY 1990 through 1992. Directs the Deputy Assistant Secretary to administer the rural health care grant program established under the Public Health Service Act. Establishes the National Advisory Committee on Rural Health to advise the Secretary of Health and Human Services and the Congress concerning the provision and financing of health care services in rural areas. Requires the Committee to submit a report to the Secretary and the Congress by October 10 of each year summarizing the Committee's activities and recommendations during the previous year. Authorizes appropriations for such Committee.
United States · United States Congress · 18 April 1989
Designates October 7 through October 14, 1989, as National Week of Outreach to the Rural Disabled.
United States · United States Congress · 18 April 1989
Designates February 18 through February 24, 1990, as National Visiting Nurse Associations Week.
United States · United States Congress · 18 April 1989
Catastrophic Coverage Delay Act of 1989 - Delays, for two years, the implementation of the Medicare Catastrophic Coverage Act of 1988. Establishes the Commission to Review the Medicare Catastrophic Coverage Act of 1988 to assess the health care needs of the elderly relating to catastrophic illness and report to the Congress, within one year of this Act's enactment, on a method of providing extended acute care coverage to Medicare (title XVIII of the Social Security Act) beneficiaries which provides a role for private insurance and minimizes duplicate coverage.
United States · United States Congress · 18 April 1989
Title I: Repeal of Certain Provisions in Medicare Catastrophic Coverage Act of 1988 - Medicare Catastrophic Coverage Amendments of 1989 - Repeals provisions of the Medicare Catastrophic Coverage Act of 1988 (the Act) establishing a Supplemental Medicare Premium and providing Medicare coverage (title XVIII of the Social Security Act) of prescription drugs and insulin, home intravenous drug therapy services, screening mammographies, and in-home care for chronically dependent individuals. Amends the Medicare program to increase the limit on Medicare part B (Supplementary Medical Insurance) out-of-pocket expenses incurred by beneficiaries for 1990. Gears future adjustments of such limit to changes in expenses of the Medicare trust funds. Modifies the Act's premium financing mechanisms. Amends title XIX (Medicaid) of the Social Security Act to require States to establish the family income eligibility level for Medicaid coverage of Medicare cost-sharing amounts at at least 85 percent of the Federal poverty level. (Currently, States must phase-in such coverage for all families whose income is below the Federal poverty level.) Requires Medicaid coverage of prescription drugs for individuals who are at least 65 years old and whose income does not exceed 150 percent of the Federal poverty level. Directs the Boards of Trustees of the Medicare trust funds to include in their reports to the Congress in April 1990 an analysis, performed by the Secretary of the Treasury, of options to strengthen the long-term solvency of such trust funds. Title II: Tax Provisions Related to Long-Term Care Insurance - Amends the Internal Revenue Code to treat certain long-term care insurance which the Secretary certifies is providing coverage to each covered person who is age 50 or older for at least one year for diagnostic, preventive, therapeutic, rehabilitation, maintenance, or personal care services provided in a setting other than the acute care unit of a hospital as accident or health insurance when taxing issuers of such insurance (hereafter referred to as qualified long-term care insurance). Provides that for the purpose of determining whether a tax exclusion applies to an employee's receipt of benefits from qualified long-term care insurance such benefits shall be considered to be for personal injury or sickness, and medical care. Excludes from taxation: (1) the portion of distributions from individual retirement plans which is used during the year to pay the premiums for qualified long-term care coverage of individuals who are age 59 1/2 or older on the date of distribution; and (2) amounts received when an individual who has attained age 65 surrenders, cancels, or exchanges a life insurance contract and used during such year to pay the premiums for qualified long-term care insurance.
United States · United States Congress · 18 April 1989
Directs the Secretary of Health and Human Services to establish demonstration programs in each of 20 hospitals under which each hospital receives Medicare (title XVIII of the Social Security Act) reimbursement of its reasonable costs incurred pursuant to a written agreement with an educational institution to provide training to undergraduates as part of an approved education program that leads to a bachelor's degree in nursing. Requires the Secretary to report to the Congress by January 1, 1993, on the demonstration programs and the supply and characteristics of nurses trained under such programs. Amends the Medicare program to state that nursing education programs operated by corporations controlled by, or under common control with, the hospital may be treated as approved educational activities of such hospital.
United States · United States Congress · 18 April 1989
Organ Transportation Good Samaritan Act - Limits to gross negligence the liability of persons who without compensation transport by air in interstate commerce human transplant organs.
United States · United States Congress · 18 April 1989
Amends title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services to use the most current data available when updating hospital area wage index factors (used in determining the amount of Medicare payments to be made to hospitals for wage-related costs).
United States · United States Congress · 18 April 1989
Designates October 22 through October 28, 1989, and the last full week of October in following years as National Adult Immunization Awareness Week.
United States · United States Congress · 13 April 1989
Medicaid Home and Community Care Options Act of 1989 - Amends title XIX (Medicaid) of the Social Security Act to permit States to provide Medicaid coverage of home and community care for functionally disabled elderly individuals. Defines a functional disability as Alzheimer's disease or the inability, due to physical or cognitive impairment, to perform at least two daily living activities. Defines a covered community care setting as a nonresidential setting or a residential setting in which more than two unrelated adults reside and personal services are provided. Requires that home and community care be provided to each client in accordance with an individual community care plan (ICCP) prepared and periodically reviewed and revised by a case manager on the basis of a comprehensive functional assessment of a client's needs conducted by an interdisciplinary team before his or her receipt of care and at least annually thereafter. Sets a ceiling on Medicaid payments to States for home and community care. Reduces Federal Medicaid payments to States that reduce their Medicaid home and community care expenditures below their FY 1989 expenditures for such care. Requires that such care meet minimum requirements, to be developed by the Secretary of Health and Human Services, regarding client rights and the quality of such care. Makes the requirements imposed on nursing facilities regarding patient's rights and facility safety and sanitation applicable to settings in which home or community care is provided. Requires that community care settings: (1) disclose persons having an ownership or control interest in the setting; and (2) exclude a person from such interest if he or she has been excluded from the Medicaid program or had an interest in a community care setting repeatedly found to have provided substandard care. Makes the: (1) Secretary responsible for certifying that State home or community care providers and settings comply with Medicaid requirements; and (2) States responsible for certifying that other home or community care providers and settings comply with Medicaid requirements. Requires that providers and settings be certified annually. Bases community care setting certification on an annual, unannounced survey. Directs the Secretary to: (1) develop a protocol for conducting surveys; and (2) conduct sample surveys of community care settings, within two months of State surveys, to test the adequacy of State surveys. Authorizes the Secretary to conduct a special survey of a setting or a review of a provider when there is reason to question its compliance with this Act. Prohibits the use of surveyors who have an interest in the provider or setting being surveyed. Requires States and the Secretary to investigate complaints against community care providers or settings concerning violations of this Act's requirements. Requires each State to provide, through the State agency responsible for the certification of such providers and settings, for the receipt, review, and investigation of allegations of client neglect and abuse, and of misappropriation of client property by providers. Requires that: (1) certain information regarding home or community care providers and settings and their compliance with this Act's requirements be made available to the public; and (2) State Medicaid fraud and abuse control units be given access to provider or setting survey and certification information. Authorizes the Secretary or States to terminate a home or community care provider's participation in the Medicaid program and to impose a civil monetary penalty for failure to meet this Act's requirements. Sets forth the Secretary's responsibilities relating to home and community care requirements. Requires that State Medicaid payment rates for home and community care be reasonable and adequate to meet the costs of providing such care efficiently, and in accordance with applicable laws, regulations, and standards. Prohibits the coverage of civil monetary penalties imposed against providers of home and community care.
United States · United States Congress · 13 April 1989
Amends the Omnibus Budget Reconciliation Act of 1986 to extend, from June 30, 1989, to June 30, 1990, the waiver of certain Medicare (title XVIII of the Social Security Act) and Medicaid (title XIX of the Act) requirements for a Massachusetts demonstration project providing alternatives to hospital care for Medicaid-eligible nursing home patients.
United States · United States Congress · 13 April 1989
Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to permit individuals to purchase coverage under such part if they would be entitled to child's insurance benefits under title II (Old Age, Survivors and Disability Insurance) of the Act were it not for their marriage.
United States · United States Congress · 13 April 1989
Department of Veterans' Affairs Health Care Programs Extension Act of 1989 - Amends Federal veterans' benefits provisions to include the provision of outpatient dental services and treatment to veterans where medically necessary in preparation for hospital admission. Increases from $500 to $1,000 the total amount that may be expended on any veteran in a 12-month period for outpatient dental services and treatment. Authorizes the Secretary of Veterans Affairs to periodically review the cost of dental care to determine whether such dollar ceiling should be adjusted and to adjust such ceiling if necessary. Extends through FY 1991 the authority of the Secretary to furnish respite care services to eligible veterans. Extends through FY 1994 the authorization of appropriations for assisting States in constructing State home facilities to be used for furnishing domiciliary and nursing home care to veterans and expanding or remodeling existing State facilities.
United States · United States Congress · 13 April 1989
Designates the week of September 17 through September 23, 1989, as National Critical Care Awareness Week.
United States · United States Congress · 13 April 1989
Expresses the sense of the House of Representatives that efforts to combat drug trafficking and abuse should be funded for FY 1990 at the levels authorized in the Anti-Drug Abuse Act of 1988.
United States · United States Congress · 12 April 1989
Basic Health Benefits for All Americans Act - Title I: Amendments to Public Health Service Act - Amends the Public Health Service Act to add provisions which require each employer to enroll each of its employees and their families in a health benefit plan. Makes State and local employers which do not so enroll their employees and their families ineligible to receive grants, contracts, loans, or loan guarantees under such Act. Title II: Amendments to Fair Labor Standards Act of 1938 and Employee Retirement Income Security Act of 1974 - Amends the Fair Labor Standards Act of 1938 to add provisions which require each employer to enroll each of its employees and their families in a health benefit plan. Amends the Employee Retirement Income Security Act of 1974 (ERISA) regarding supersedure of State laws relating to contracts or policies of insurance issued to or under a health benefit plan under title III of this Act. Amends ERISA with regard to the treatment of the Hawaii Prepaid Health Care Act. Title III: Requirements for Health Benefit Plans for Employees and Their Families - Subtitle A: Requirement and Definitions - Applies this title to employers required to enroll employees in health benefit plans under certain provisions of the Public Health Service Act or the Fair Labor Standards Act of 1938. Requires each small and certain large employers to use a regional insurer, subject to certain exceptions and conditions. Exempts employers in the State of Hawaii so long as the Hawaii Prepaid Health Care Act remains in effect. Requires that enrollment of an employee in a health benefit plan under this title includes enrollment of the employee's family in the plan. Prohibits the employee from waiving personal or family enrollment. Provides exceptions: (1) to avoid duplicate family coverage; and (2) in the case of multiple employers. Prohibits employers from discriminating against any individual because such individual has a spouse or child required under this title to be enrolled in a health benefit plan. Subtitle B: Requirements for Health Benefit Plans - Sets forth general requirements for plans. Permits a health benefit plan to be considered as meeting such requirements provided the actuarial benefits under the plan are not less than would have applied if the plan met the requirements of this subtitle. Sets forth minimum requirements, including a limit on out-of-pocket expenses. Mandates inclusion of certain mental health benefits. Directs the Secretary of Health and Human Services to: (1) establish an advisory board to advise the Secretary on development of actuarial equivalency standards; and (2) publish, at least three months before the effective date of this Act, a table of actuarial equivalency describing as many variations as feasible. Declares a plan using variations not included in the table to be in compliance with this Act if it meets certain requirements. Directs the Secretary to establish streamlined procedures regarding employers with multiple plans. Allows new small businesses to use a tailored health benefit plan, as defined in this title. Specifies benefits which a plan must provide, including inpatient and outpatient hospital care and physician services, tests, prenatal and well-baby care, and inpatient and outpatient care for mental disorders. Prohibits placing limits on the amount, scope, or duration of benefits for hospital care, physician services, or tests, but allows plan limits on prenatal and well-baby care under regulations prescribed by the Secretary. Declares that nothing in this Act: (1) prohibits a health plan from providing benefits through a panel or other form of managed care system or establishing a different level of payments for reimbursement for different health care providers furnishing benefits; or (2) requires a plan to use a provider to provide benefits provided before the effective date of this Act other than the providers being utilized by the plan on that date or make payments to any provider that is excluded from participation in any Federal health care program. Allows an insurer to establish a fee schedule or other basis of payment that is different from actual charges if the schedule meets certain requirements. Specifies requirements regarding the date of initial coverage. Prohibits pre-existing condition provisions. Provides special requirements regarding certain part-time and temporary employees. Allows a plan to require an employee to pay for premiums, deductibles, copayments, and coinsurance not to exceed certain limits. Provides for adjustments for covered spouses with other coverage and for employed retirees. Requires each employer with an employee whose hourly wage is less than a specified amount to offer each such employee at least one plan that does not require a premium for the employee. Prohibits State laws from preventing employers from using payroll withholding for premiums due by employees. Sets forth special rules for the calculation of premiums for part-time employees. Sets limitations on: (1) deductibles, to be increased for increases in the consumer price index; (2) copayments and coinsurance, subject to exception; and (3) out-of-pocket expenses. Subtitle C: Certification of Regional Insurers - Directs the Secretary of Health and Human Services (Secretary) to designate six to eight health insurance regions and to establish procedures for the periodic certification of insurers for each region. Sets forth certification eligibility requirements. Specifies requirements for application for and consideration of applications for such certification. Directs the Secretary to periodically evaluate the performance of regional insurers and, under certain circumstances, allows the Secretary to terminate the certification of the insurer. Allows the Secretary, if the Secretary determines that there is a failure of competition among regional insurers in the region and that other conditions are met, to restrict certification, based on a competitive bidding or other system, to those qualified insurers which offer plans at lower rates. Sets forth requirements regarding the types of plans each regional insurer must offer. Requires each regional insurer to fix premiums under a community rating system. Prohibits adjustment of such premiums based on age, gender, other factors relating to the projected or actual use of services, or, subject to exception, on geographical location within the region. Permits regional insurers to enter into subcontracts. Directs the Secretary to encourage regional insurers to enter into arrangements with entities representing groups of small businesses for the provision of administrative services. Requires such insurers to reduce the premiums charged by an amount which reflects the value of such services. Directs the Secretary to provide technical assistance to employers, utilizing to the maximum extent feasible entities with experience in providing health insurance services to small businesses. Subtitle D: Regulations and Enforcement - Directs the Secretary to promulgate rules to carry out this title by specified deadlines. Provides for civil penalties for any nongovernmental employer who does not comply with certain provisions of this Act. Makes nongovernmental employers who knowingly fail to comply with certain provisions of this Act liable for damages, including health care costs incurred, to the employee or the employee's family. Allows any individual injured, adversely affected, or aggrieved by violation of certain requirements of this Act to bring an action for injunctive relief. Subtitle E: Small Business Subsidy - Directs the Secretary of Labor to provide for payment to a small employer, whose compliance cost exceeded a specified percentage of the employer's gross revenues, of 75 percent of such excess. Allows adjustments for industries for which the specified percentage is not an appropriate measure of the financial burden of providing the insurance. Title IV: Assuring Provision of Health Benefits to Under-Poverty, Near-Poverty, and Other Individuals - Amends the Public Health Service Act to create a new title on State-provided health care benefits for poor individuals. Requires each State to operate a health care benefits program under which the State: (1) must offer, starting in 1991, benefits to under-poverty individuals; (2) may offer, starting in 1991, and must offer, starting in 1996, benefits to near-poverty individuals; and (3) may offer, starting in 1996, and must offer, starting in 1999, benefits to all other individuals not covered under a health benefit plan under title III of this Act. Requires the benefits under the State benefits program to be the same as required of health benefit plans under such title plus coverage for items and services relating to early and periodic screening and diagnosis of children under the age of 21. Prohibits the benefits from including any other items or services. Prohibits the imposition of premiums, deductibles, copayments, or cost-sharing on under-poverty individuals. Allows such features, subject to limitations, for near-poverty and other covered individuals. Makes an individual who is enrolled in a health benefit plan under title III of this Act ineligible for benefits under a State benefits program, but requires or permits a State program to pay part or all of the premiums, deductibles, and other cost-sharing imposed by a title III plan on an individual who is under or near poverty. Allows a State to require an under-poverty or near-poverty individual who is eligible for but not required to be enrolled in a plan under title III to enroll in the plan, but only if the individual's premiums and out-of-pocket expenses will be no greater than if the individual had not been required to enroll. Requires the State to determine the eligibility of an individual within 30 days of application. Provides for enrollment periods and effective dates of coverage. Declares that an individual who is determined in a month to be eligible must remain eligible for not less than six months. Requires reimbursement to providers under each State benefits program to be at a level sufficient to achieve access to services covered by the program. Directs the Secretary of Health and Human Services to pay to a State the State's Federal health benefit assistance percentage, determined under a specified formula, for the cost of benefits under the State program. Directs the Secretary to provide for review of State programs to ensure that the programs meet the requirements of this title and provide quality health care. Requires the use of such clinical practice guidelines as the Secretary may develop in determining whether items and services are medically necessary. Prohibits a State from providing benefits through a plan that restricts the provider from whom an individual may obtain items and services unless the plan meets certain requirements. Requires each State to administer its benefits program, unless the State elects to have the Secretary do so and pays for such services. Title V: Effective Date for Titles I through III - Provides for the effective dates of titles I through III of this Act and transition rules for certain circumstances. Declares that no employer will be required under title III of this Act to provide any health benefit in addition to the benefits required to be provided by specified provisions of this Act unless: (1) such additional benefit is for a service which State Medicaid plans (under title XIX of the Social Security Act) are required to cover for certain individuals; and (2) before the enactment of such requirement, the benefits and costs of requiring the provision of such additional health benefit have been analyzed and considered by the Congress, according to certain procedures.
United States · United States Congress · 12 April 1989
Basic Health Benefits for All Americans Act - Title I: Amendments to Public Health Service Act - Amends the Public Health Service Act to add provisions which require each employer to enroll each of its employees and their families in a health benefit plan. Makes State and local employers which do not so enroll their employees and their families ineligible to receive grants, contracts, loans, or loan guarantees under such Act. Title II: Amendments to Fair Labor Standards Act of 1938 and Employee Retirement Income Security Act of 1974 - Amends the Fair Labor Standards Act of 1938 to add provisions which require each employer to enroll each of its employees and their families in a health benefit plan. Amends the Employee Retirement Income Security Act of 1974 (ERISA) regarding supersedure of State laws relating to contracts or policies of insurance issued to or under a health benefit plan under title III of this Act. Title III: Requirements for Health Benefit Plans for Employees and Their Families - Subtitle A: Requirement and Definitions - Applies this title to employers required to enroll employees in health benefit plans under certain provisions of the Public Health Service Act or the Fair Labor Standards Act of 1938. Requires each small and certain large employers to use a regional insurer, subject to certain exceptions and conditions. Requires that enrollment of an employee in a health benefit plan under this title includes enrollment of the employee's family in the plan. Prohibits the employee from waiving personal or family enrollment. Provides exceptions: (1) to avoid duplicate family coverage; and (2) in the case of multiple employers. Prohibits employers from discriminating against any individual because such individual has a spouse or child required under this title to be enrolled in a health benefit plan. Subtitle B: Requirements for Health Benefit Plans - Sets forth general requirements for plans. Permits a health benefit plan to be considered as meeting such requirements provided the actuarial benefits under the plan are not less than would have applied if the plan met the requirements of this subtitle. Sets forth minimum requirements, including a limit on out-of-pocket expenses. Mandates inclusion of certain mental health benefits. Directs the Secretary of Health and Human Services to: (1) establish an advisory board to advise the Secretary on development of actuarial equivalency standards; and (2) publish, at least three months before the effective date of this Act, a table of actuarial equivalency describing as many variations as feasible. Declares a plan using variations not included in the table to be in compliance with this Act if it meets certain requirements. Directs the Secretary to establish streamlined procedures regarding employers with multiple plans. Allows new small businesses to use a tailored health benefit plan, as defined in this title. Specifies benefits which a plan must provide, including inpatient and outpatient hospital care and physician services, tests, prenatal and well-baby care, and inpatient and outpatient care for mental disorders. Prohibits placing limits on the amount, scope, or duration of benefits for hospital care, physician services, or tests, but allows plan limits on prenatal and well-baby care under regulations prescribed by the Secretary. Declares that nothing in this Act: (1) prohibits a health plan from providing benefits through a panel or other form of managed care system or establishing a different level of payments for reimbursement for different health care providers furnishing benefits; or (2) requires a plan to use a provider to provide benefits provided before the effective date of this Act other than the providers being utilized by the plan on that date or make payments to any provider that is excluded from participation in any Federal health care program. Allows an insurer to establish a fee schedule or other basis of payment that is different from actual charges if the schedule meets certain requirements. Specifies requirements regarding the date of initial coverage. Prohibits pre-existing condition provisions. Provides special requirements regarding certain part-time employees. Allows a plan to require an employee to pay for premiums, deductibles, copayments, and coinsurance not to exceed certain limits. Provides for adjustments for covered spouses with other coverage and for employed retirees. Requires each employer with an employee whose hourly wage is less than a specified amount to offer each such employee at least one plan that does not require a premium for the employee. Prohibits State laws from preventing employers from using payroll withholding for premiums due by employees. Sets forth special rules for the calculation of premiums for part-time employees. Sets limitations on: (1) deductibles, to be increased for increases in the consumer price index; (2) copayments and coinsurance, subject to exception; and (3) out-of-pocket expenses. Subtitle C: Certification of Regional Insurers - Directs the Secretary of Health and Human Services (Secretary) to designate six to eight health insurance regions and to establish procedures for the periodic certification of insurers for each region. Sets forth certification eligibility requirements. Specifies requirements for application for and consideration of applications for such certification. Directs the Secretary to periodically evaluate the performance of regional insurers and, under certain circumstances, allows the Secretary to terminate the certification of the insurer. Allows the Secretary, if the Secretary determines that there is a failure of competition among regional insurers in the region and that other conditions are met, to restrict certification, based on a competitive bidding or other system, to those qualified insurers which offer plans at lower rates. Sets forth requirements regarding the types of plans each regional insurer must offer. Requires each regional insurer to fix premiums under a community rating system. Prohibits adjustment of such premiums based on age, gender, other factors relating to the projected or actual use of services, or, subject to exception, on geographical location within the region. Permits regional insurers to enter into subcontracts. Directs the Secretary to encourage regional insurers to enter into arrangements with entities representing groups of small businesses for the provision of administrative services. Requires such insurers to reduce the premiums charged by an amount which reflects the value of such services. Directs the Secretary to provide technical assistance to employers, utilizing to the maximum extent feasible entities with experience in providing health insurance services to small businesses. Subtitle D: Regulations and Enforcement - Directs the Secretary to promulgate rules to carry out this title by specified deadlines. Provides for civil penalties for any nongovernmental employer who does not comply with certain provisions of this Act. Makes nongovernmental employers who knowingly fail to comply with certain provisions of this Act liable for damages, including health care costs incurred, to the employee or the employee's family. Allows any individual injured, adversely affected, or aggrieved by violation of certain requirements of this Act to bring an action for injunctive relief. Subtitle E: Small Business Subsidy - Directs the Secretary of Labor to provide for payment to a small employer, whose compliance cost exceeded a specified percentage of the employer's gross revenues, of 75 percent of such excess. Allows adjustments for industries for which the specified percentage is not an appropriate measure of the financial burden of providing the insurance. Title IV: Assuring Provision of Health Benefits to Under-Poverty, Near-Poverty, and Other Individuals - Amends title XIX (Medicaid) of the Social Security Act to state that any plan approved under the title: (1) must offer, starting in 1991, benefits to under-poverty individuals; (2) may offer, starting in 1991, and must offer, starting in 1996, benefits to near-poverty individuals; and (3) may offer, starting in 1996, and must offer, starting in 1999, benefits to all other individuals not covered under a health benefit plan under title III of this Act. Requires the benefits under the State benefits program to be the same as required of health benefit plans under such title plus coverage for items and services relating to early and periodic screening and diagnosis of children under the age of 21. Prohibits the benefits from including any other items or services. Prohibits the imposition of premiums, deductibles, copayments, or cost-sharing on under-poverty individuals. Allows such features, subject to limitations, for near-poverty and other covered individuals. Makes an individual who is enrolled in a health benefit plan under title III of this Act ineligible for benefits under a State benefits program, but requires or permits a State program to pay part or all of the premiums, deductibles, and other cost-sharing imposed by a title III plan on an individual who is under or near poverty. Allows a State to require an under-poverty or near-poverty individual who is eligible for but not required to be enrolled in a health benefit plan to enroll in the plan, but only if the individual's premiums and out-of-pocket expenses will be no greater than if the individual had not been required to enroll. Requires the State to determine the eligibility of an individual within 30 days of application. Provides for enrollment periods and effective dates of coverage. Declares that an individual who is determined in a month to be eligible must remain eligible for not less than six months. Requires reimbursement for physician services furnished on or after January 1, 1991, and other items and services furnished on or after January 1, 1996, to be made at rates that are not less than the rates recognized for payment of such items and services under title XVIII (Medicare) of the Social Security Act. Directs the Secretary of Health and Human Services to provide for utilization and quality control peer review organizations under Part B (Peer Review) of such title. Requires the use of such clinical practice guidelines as the Secretary may develop in determining whether items and services are medically necessary. Prohibits a State from providing benefits through a plan that restricts the provider from whom an individual may obtain items and services unless the plan meets certain requirements. Requires each State to administer its benefits program, unless the State elects to have the Secretary do so and pays for such services. Specifies provisions of title XIX (Medicaid) of the Social Security Act which do not apply to the provisions of this title, including those relating to general comparability, payment rules, cost-sharing rules, general retroactive eligibility, transition rules, the State 209(b) section option, income limits, and lien provisions. Provides for the manner in which other specified provisions of such title shall be applied to the provisions of this title. Requires States that are operating under demonstration projects to meet the requirements of this title in the same manner as if the State had in effect a Medicaid plan. Applies this title only to the 50 States and the District of Columbia. Amends title XIX to declare that, notwithstanding any other Medicaid provision, with respect to benefits described in this title, effective January 1, 1991, the State Medicaid plan may not impose any limitations on the amount, duration, or scope for individuals eligible for Medicaid benefits who are not described in specified provisions of this title. Requires State Medicaid plans to provide for payment for items and services provided under this title on or after specified dates based on rates that are not less than the rates recognized under title XVIII (Medicare) of the Social Security Act. Authorizes a State Medicaid plan, at the State's option and notwithstanding any other Medicaid provision, to make medical assistance available with respect to prescribed drugs to individuals eligible to receive benefits under this title, provided other requirements are met. Title V: Effective Date for Titles I through III - Provides for the effective dates of titles I through III of this Act and transition rules for certain circumstances. Declares that no employer will be required under title III of this Act to provide any health benefit in addition to the benefits required to be provided by specified provisions of this Act unless: (1) such additional benefit is for a service which State Medicaid plans (under title XIX of the Social Security Act) are required to cover for certain individuals; and (2) before the enactment of such requirement, the benefits and costs of requiring the provision of such additional health benefit have been analyzed and considered by the Congress, according to certain procedures.
United States · United States Congress · 12 April 1989
Federal Spouse and Disabled Individual Catastrophic Coverage Election Act of 1989 - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to allow Medicare beneficiaries who are disabled or enrolled as the spouse or former spouse of a Federal employee under an approved health benefits plan to elect not to receive the benefits to which they are entitled, and not to pay the premiums assessed, under the Medicare Catastrophic Coverage Act of 1988. Amends the Internal Revenue Code to treat amounts paid as supplemental Medicare premiums as deductible medical expenses.
United States · United States Congress · 12 April 1989
Amends title XVIII (Medicare) of the Social Security Act to repeal Medicare participating physician and Maximum Allowable Actual Charge programs. Eliminates carrier actions to require physicians to refund amounts collected for services deemed not reasonable and necessary.
United States · United States Congress · 12 April 1989
Medicare Equity Act of 1989 - Amends the Internal Revenue Code to increase existing Federal excise taxes on tobacco products, except the tax on pipe tobacco. Amends title XVIII (Medicare) of the Social Security Act to appropriate any revenue: (1) resulting from the tobacco tax increase to the Federal Catastrophic Drug Insurance Trust Fund and the Federal Supplemental Medical Insurance Trust Fund; and (2) credited to the Medicare Catastrophic Coverage Account. Revises the method of determining the supplemental Medicare premium rate for pre-1994 tax years.
United States · United States Congress · 12 April 1989
Medicare Hospital Capital Reimbursement Reform Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to extend current reductions in Medicare payments for the capital-related costs of inpatient hospital services through FY 1992. Increases such reductions for low-occupancy hospitals. Exempts hospitals which treat a disproportionate share of indigent patients from such reductions.
United States · United States Congress · 11 April 1989
Department of Veterans' Affairs Health Care Programs Extension Act of 1989 - Amends Federal veterans' benefits provisions to include the provision of outpatient dental services and treatment to veterans where medically necessary in preparation for hospital admission. Increases from $500 to $1,000 the total amount that may be expended on any veteran in a 12-month period for outpatient dental services and treatment. Authorizes the Secretary of Veterans Affairs to periodically review the cost of dental care to determine whether such dollar ceiling should be adjusted and to adjust such ceiling if necessary. Extends through FY 1991 the authority of the Secretary to furnish respite care services to eligible veterans. Extends through FY 1994 the authorization of appropriations for assisting States in constructing State home facilities to be used for furnishing domiciliary and nursing home care to veterans and expanding or remodeling existing State facilities.
United States · United States Congress · 11 April 1989
Diabetes Prevention Act of 1989 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants to assist States in preventing or reducing morbidity and premature mortality resulting from diabetes, with particular emphasis on any population at risk. Requires grantees to: (1) set aside 50 percent of the grant to make grants to community-based programs for carrying out the same purposes; (2) establish a comprehensive program of identifying individuals at risk of developing diabetes or related complications and providing such individuals with education and counseling with respect to receiving preventive health care; and (3) provide information and services in the language and cultural context most appropriate for the individuals for whom the information and services are intended. Authorizes appropriations for FY 1990 through 1992. Amends provisions of the Public Health Service Act relating to block grants to state that allotments under certain provisions for preventive health services may be used for services relating to the prevention of diabetes and related complications among populations at risk for diabetes.
United States · United States Congress · 11 April 1989
Designates the month of April 1989 as National Cancer Awareness Month.
United States · United States Congress · 10 April 1989
Sole Community Hospital Protection Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to treat a hospital as a sole community hospital for Medicare payment purposes if it is located: (1) more than 35 miles from other hospitals furnishing short-term, acute care; or (2) 25-to-35 miles from other hospitals furnishing short-term, acute care and not more than 50 percent of part A (Hospital Insurance) Medicare beneficiaries in such hospital's service area are admitted to other hospitals within 35 miles of such hospital or, if larger, within such hospital's service area. Eliminates the termination date for the provision of additional Medicare payments to sole community hospitals which experience a decline in patient volume of greater than five percent over a cost reporting period due to circumstances beyond their control. Covers a percentage of the losses incurred by low-income sole community hospitals which do not qualify for additional Medicare payments on the basis of declining patient volume. Provides such coverage on a sliding-scale basis with lower-volume hospitals receiving more assistance than higher-volume hospitals. Exempts a hospital which meets the criteria for classification as a sole community hospital from Medicare payment reductions for capital-related costs, even if the hospital does not accept such designation for Medicare payment purposes.
United States · United States Congress · 6 April 1989
Amends title XIX (Medicaid) of the Social Security Act to set the Federal share of the cost of obstetrical services furnished by a physician or certified nurse midwife in a rural manpower shortage area at 90 percent if State Medicaid payments for such services equal at least 80 percent of the allowable charge for such services under the State employee health benefit plan.
United States · United States Congress · 5 April 1989
Healthy Birth Act of 1989 - Amends title V (Maternal and Child Health Services) of the Social Security Act to increase authorized appropriations for such program. Sets aside certain appropriated amounts for comprehensive State infant mortality initiatives and Federal activities in coordination with such initiatives. Prohibits Federal assistance for such a State initiative unless the State provides assurances that it will: (1) establish a toll-free telephone information and referral system for maternal and child health services; (2) provide technical assistance and public awareness activities regarding the maternal and child health handbook to be disseminated by the Secretary of Health and Human Services; (3) develop and expand maternal and child health home visiting programs; (4) establish a "one-stop shopping," client-centered program under which pregnant women and mothers can apply for a wide range of Government programs in a coordinated manner at a location at which social and health-related services are made available to pregnant women and infants; (5) evaluate the impact of such initiative; and (6) be able to continue such initiative without Federal assistance within five years of the first receipt of such assistance. Directs the Secretary to use a specified portion of set-aside amounts to: (1) provide technical assistance to State initiatives; (2) disseminate a maternal and child health handbook to all pregnant women and new parents; (3) establish a nationwide, toll-free telephone information and referral system for maternal and child health services; (4) develop a model, coordinated application and eligibility determination system for use by States under the Medicaid program (title XIX of the Act) and the special supplemental food program for women, infants, and children; (5) improve the integration and coordination of Federal programs serving pregnant women and children; and (6) monitor and evaluate State infant mortality initiatives. Requires the Secretary to give priority to the initiatives of States demonstrating the greatest need and an ability to implement such initiatives, while recognizing the need for an equitable distribution of assistance among the States.
United States · United States Congress · 5 April 1989
Patient Outcomes Research Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to establish a patient outcomes assessment research program to generate and disseminate information concerning the best methods of managing selected health conditions. Gives priority to significant health conditions that are subject to a variety of management methods among patients in different geographical locations and in different clinical settings. Requires the Secretary to establish a program for the development of practice guidelines to assist health care professionals in adopting those practice patterns determined to be most effective in combating selected health conditions. Authorizes appropriations for the research program and the guidelines program for FY 1990 through 1992. Requires that at least 70 percent of amounts appropriated for a fiscal year be used to fund grants to, and agreements with, non-Federal entities. Sets forth reporting requirements. Directs the Secretary to establish the Independent Advisory Committee on Managing Patient Outcomes to advise and assist the Assistant Secretary in carrying out this Act's provisions. Requires the Assistant Secretary to contract with the Institute of Medicine for an annual review of the findings and recommendations of the research program. Includes, as part of such review: (1) the recommendation of strategic priorities for the research program and practice guidelines; (2) the evaluation of the success of the research program; and (3) the issuance of annual reports summarizing research findings and suggesting improvements to the research program and guidelines program. Authorizes appropriations for the Institute's review activities for FY 1990 through 1992.
United States · United States Congress · 5 April 1989
Medical Care Quality Research and Improvement Act of 1989 - Amends part A (General Provisions) of title XI of the Social Security Act to require the Secretary of Health and Human Services to provide for research into the outcome, effectiveness, and appropriateness of specific treatments and medical conditions selected by a research coordinating group composed of specified officials of the Health Care Financing Administration. Directs the Secretary to: (1) report to the Congress, within one year of this Act's enactment, on the feasibility of linking the Department of Health and Human Services' treatment outcome research information with such information collected by other Federal departments; (2) disseminate research findings and educate providers in the application of such research; (3) develop on the basis of such research, treatment-specific or condition-specific practice guidelines and models for their use; (4) initiate, by 1991, a project to apply such guidelines to at least three clinical treatments or conditions that account for a significant portion of Medicare (title XVIII of the Act) expenditures and have a significant variation in the frequency or type of treatment provided; and (5) appoint an advisory council to provide the Secretary with assistance in research-related activities. Authorizes appropriations for such research-related activities through FY 1994.
United States · United States Congress · 5 April 1989
Healthy Birth Act of 1989 - Amends title V (Maternal and Child Health Services) of the Social Security Act to increase authorized appropriations for such program. Sets aside certain appropriated amounts for comprehensive State infant mortality initiatives and Federal activities in coordination with such initiatives. Prohibits Federal assistance for such a State initiative unless the State provides assurances that it will: (1) establish a toll-free telephone information and referral system for maternal and child health services; (2) provide technical assistance and public awareness activities regarding the maternal and child health handbook to be disseminated by the Secretary of Health and Human Services; (3) develop and expand maternal and child health home visiting programs; (4) establish a "one-stop shopping," client-centered program under which pregnant women and mothers can apply for a wide range of Government programs in a coordinated manner at a location at which social and health-related services are made available to pregnant women and infants; (5) evaluate the impact of such initiative; and (6) be able to continue such initiative without Federal assistance within five years of the first receipt of such assistance. Directs the Secretary to use a specified portion of set-aside amounts to: (1) provide technical assistance to State initiatives; (2) disseminate a maternal and child health handbook to all pregnant women and new parents; (3) establish a nationwide, toll-free telephone information and referral system for maternal and child health services; (4) develop a model, coordinated application and eligibility determination system for use by States under the Medicaid program (title XIX of the Act) and the special supplemental food program for women, infants, and children; (5) improve the integration and coordination of Federal programs serving pregnant women and children; and (6) monitor and evaluate State infant mortality initiatives. Requires the Secretary to give priority to the initiatives of States demonstrating the greatest need and an ability to implement such initiatives, while recognizing the need for an equitable distribution of assistance among the States.
United States · United States Congress · 5 April 1989
Declares that: (1) it is the sense of the House of Representatives that child survival and development programs are to be commended; (2) the House of Representatives reaffirms its goal of improvement of the survival rates, health, and development of people in all countries and urges the President to adopt this as a major priority; (3) the President is urged to propose to the Secretary General of the United Nations that he establish an independent advisory commission with regard to programs in primary health care, nutrition, basic education, and environment by members of the Grand Alliance for Children; and (4) the House of Representatives endorses the call for a World Summit on Children as an opportunity to attain specified goals, including the goals of Universal Childhood Immunization by 1990 and Health for All by the year 2000.
United States · United States Congress · 4 April 1989
Designates the week of September 10 through September 16, 1989, as National Check-Up Week.
United States · United States Congress · 4 April 1989
Medicare Anesthesiology Reimbursement Correction Act of 1989 - Directs the Secretary of Health and Human Services to adjust the factors used in determining payment amounts for anesthesia services under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act so that any variations among localities in such factors reflect only variations in malpractice insurance costs and significant variations in other costs of practice among such localities.
United States · United States Congress · 3 April 1989
Designates the week of September 10 through September 16, 1989, as National Check-Up Week.