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301 records in US in 1990
United States · United States Congress · 5 April 1990
Commends the National Mental Health Leadership Forum and the National Advisory Mental Health Council for cosponsoring a series of public hearings in 1990 addressing mental health issues.
United States · United States Congress · 4 April 1990
Trauma Care Center Alien Compensation Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make an allotment each year for each eligible trauma center to compensate, partially or fully, for unreimbursed costs of care to undocumented aliens. Mandates a study relating to such costs. Authorizes appropriations.
United States · United States Congress · 4 April 1990
National Health Service Corps Revitalization Amendments of 1990 - Title I: Revisions in General Program for National Health Service Corps - Amends the Public Health Service Act provisions relating to the purpose of the National Health Service Corps to require that the Secretary of Health and Human Services use the Corps to provide primary health services in health manpower shortage areas. Removes a limitation on the dollar amount of pay increases which may be granted to a Corps member during the first 36 months of service. Removes provisions directing the Secretary, in assigning Corps members, to: (1) give priority to meeting Indian Health Service and other indian tribe or tribal organization needs; and (2) provide special consideration to homeless populations who do not have access to primary health care services. Applies certain definitions to provisions relating to Corps scholarship and loan programs as well as to provisions relating directly to the Corps. Requires that a complete descriptive list of health manpower shortage areas be published in the Federal Register by specified deadlines. Includes in the definition of "medical facility": (1) health programs or facilities operated by a tribe or tribal organization; and (2) facilities used in connection with provisions relating to health services for homeless individuals. Allows the Secretary to assign members of the Corps to an entity to provide health services in a health manpower shortage area only if there has been (currently, will be) appropriate and efficient use of Corps members assigned to that entity for the area. Removes certain provisions relating to priorities and considerations in assigning Corps personnel, replacing some such provisions with similarly worded provisions. Sets forth the exclusive factors the Secretary may consider in determining the areas with the greatest shortages. Requires annual publication in the Federal Register of a list of areas that are to be given priority in the assignment of Corps members and, for FY 1991, a list of entities authorized to receive assignments of Corps members. Replaces provisions relating to grants and contracts for programs respecting preparation for practice of individuals subject to a service obligation with provisions: (1) concerning consideration of characteristics of Corps members in making assignments; (2) requiring certain types of counseling of Corps members; (3) requiring assistance to Corps members in establishing local professional relationships; (4) directing the Secretary to provide assistance regarding temporary relief from Corps duties in order to pursue continuing education or other interests, including vacations; and (5) directing the Secretary to carry out activities to determine the characteristics of health professionals who are more likely to remain in shortage areas after completion of Corps service, and to determine the appropriate conditions for the assignment of certified nurse practitioners, certified nurse midwives, and physician assistants. Authorizes appropriations. Title II: Scholarship and Loan Repayment Programs of National Health Service Corps - Replaces measures providing for the establishment of the National Health Service Corps Scholarship Program with similar provisions directing the Secretary to establish such a Scholarship Program to assure, with respect to primary health services, an adequate supply of health professionals. (Current law makes no reference to primary health services.) Requires that an agreement to work as a provider of primary health services in a shortage area (currently, an agreement to work in a shortage area) be a part of the scholarship contract. Alters the priorities in providing contracts under the Scholarship Program to include an individual with characteristics that increase the probability that the individual will continue to serve in a shortage area after completion of obligated service. Changes the required contents of an annual report mandated by current law regarding the Scholarship Program. Replaces measures providing for the establishment of the National Health Service Corps Loan Repayment Program with similar provisions directing the Secretary to establish such a Loan Repayment Program to assure, with respect to the provision of primary health services, an adequate supply of health professionals. (Current law makes no reference to primary health services.) Requires that an agreement to work as a provider of primary health services in a shortage area (currently, an agreement to work in a shortage area) be a part of the loan repayment contract. Changes eligibility procedures for the Loan Repayment Program. Replaces provisions governing priorities in providing loan repayment contracts with provisions directing the Secretary to give priority to an individual who has characteristics that increase the probability that the individual will continue to serve in a shortage area after completion of obligated service. Increases the limit on the amount the Secretary may pay for each year of obligated service. Removes provisions allowing fulfillment of a service obligation in the Indian Health Service or in a program or facility operated by a tribe or a tribal organization. Requires (currently, allows) the Secretary to pay all (currently, part or all) of any increase in Federal income tax liability of an individual which arises as a result of the loan repayments. Changes the required contents of an annual report mandated by current law regarding the Loan Repayment Program. Requires that an annual report concerning the Scholarship Program and the Loan Repayment Program cover the next five years rather than the next three years. Authorizes appropriations, requiring set-asides in certain percentages for new applicants and for applicants in specified fields. Title III: State Offices of Rural Health - Authorizes the Secretary, through the Director of the Office of Rural Health Policy, to make grants to States for improving health care in rural areas through the operation of State offices of rural health. Requires recipient States to agree that such office will be provided with a minimum annual budget. Authorizes appropriations. Prohibits making grants under this program after the aggregate amounts appropriated reach a specified level. Title IV: General Provisions - Specifies the effective dates of provisions of this Act.
United States · United States Congress · 4 April 1990
Amends title XVIIII (Medicare) of the Social Security Act to cover services performed by a physician assistant regardless of the setting or geographical location in which such services are rendered.
United States · United States Congress · 4 April 1990
Declares it to be an unfair or deceptive act or practice under the Federal Trade Commission Act to advertise or cause to be advertised through magazines, newspapers, brochures, promotional displays, radio or television broadcasting (including cable broadcasting) any alcoholic beverage unless the advertising includes one of specified warnings. Makes the Federal Trade Commission responsible for establishing and maintaining toll free numbers referred to in some of the warnings. Sets forth requirements for the warnings, including rotating between the warnings.
United States · United States Congress · 4 April 1990
AIDS Prevention Act of 1990 - Title I: Preventive Health Services with Respect to Acquired Immune Deficiency Syndrome - Amends the Public Health Service Act to create a new title on preventive health services with respect to acquired immune deficiency syndrome (AIDS). Directs the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to make grants to States for such services. Requires the funds to be used only for: (1) counseling; (2) testing, including testing for infection, testing regarding the extent of deficiency in the immune system, testing relating to preventing and treating deterioration of the immune system, and testing relating to preventing and treating conditions arising from the infection; and (3) providing therapeutic measures. Requires information regarding the receipt of services to be confidential in a manner not inconsistent with applicable law. Requires counseling and written informed consent prior to testing. Allows: (1) use of a pseudonym in signing a consent form; and (2) consent to be given orally when an individual is to undergo testing without providing any identifying information. Requires counseling before testing and, for both individuals with negative and individuals with positive results, after testing. Requires that opportunities be made available for women, children, hemophiliacs, and emergency response employees to undergo counseling under conditions appropriate to their needs. Allows counseling without testing. Requires that testing by grant recipients for infection be carried out in accordance with the requirements of this Act regarding confidentiality, informed consent, and counseling regardless of whether the testing is carried out with Federal funds. Requires grant recipients who regularly provide treatment for sexually transmitted diseases, who regularly provide treatment for intravenous substance abuse, who are family planning clinics, or who provide treatment for tuberculosis to offer and encourage preventive health services to individuals to whom the recipient provides services. Requires a State grant recipient to: (1) encourage individuals in the State receiving a transfusion of any blood product after January 1, 1977, to receive preventive health services; and (2) inform such individuals of public health facilities in the geographic area that provide such services. Requires a State grant recipient to require that any entity carrying out such testing confidentially report to the State public health officer information sufficient to: (1) perform statistical and epidemiological analyses of the incidence of infection; (2) perform statistical and epidemiological analyses of the demographic characteristics of infected individuals; and (3) assess the adequacy of preventive health services. Requires a State grant recipient to require that the State public health officer, to the extent appropriate in the determination of the officer, carry out a program of contract tracing with respect to infection. Requires that, to the extent permitted under State law, grant recipients offer substantial opportunities for an individual to undergo counseling and testing without giving any identifying information or using a pseudonym. Prohibits requiring an individual to undergo testing unless the testing is medically indicated in the provision of the health services sought by an individual. Prohibits a grant recipient from imposing a charge for preventive health services on any individual who is unable to pay the charge. Authorizes appropriations. Requires that counseling programs carried out under this Act: (1) not be designed to promote or encourage, directly, intravenous drug abuse or sexual activity, homosexual or heterosexual; (2) be designed to reduce exposure to and transmission of the etiologic agent for AIDS by providing accurate information; and (3) provide information on the health risks of promiscuous sexual activity and intravenous drug abuse. Title II: Medicaid AIDS and HIV Amendments - Amends title XIX (Medicaid) of the Social Security Act to require that individuals who are not covered under specified other Social Security Act provisions, who have tested positive for infection with the HIV virus, and who meet other income and resource requirements be covered under Medicaid for specified HIV-related services. Adds such individuals to provisions relating to case management services. Requires that State Medicaid plans provide, at the option of a State, for making medical assistance available for COBRA continuation coverage premiums for individuals who have tested positive for HIV infection and who meet other income and resource requirements. Title III: Emergency Relief for Areas with Substantial Need for Services - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to award emergency relief grants to any metropolitan statistical area (eligible area) as specified by the Secretary that has reported more than 2000 AIDS cases and that meets other requirements. Requires that the grants be directed to the chief elected official of the city or county that administers the public health agency serving the greatest proportion of individuals with AIDS in the eligible area. Requires the administering local political subdivision (ALPS) to establish a mechanism to allocate funds and services based on the proportion of AIDS cases and the severity of need of the local political subdivisions. Provides for the establishment of an HIV health services planning council, by each ALPS and its chief elected official, to develop a comprehensive plan for the delivery and organization of HIV services, establish fund allocation priorities, and assess fund allocation efficiency. Provides, at specified times, that one-half of funds appropriated for the grants be used for regular grants and one-half be used for supplemental grants. Allows a health care provider receiving assistance under these provisions to use the amounts to: (1) enhance the quality of services to low income individuals and families with HIV disease; (2) deliver outpatient and ambulatory care services, including case management, to such individuals and families, including comprehensive treatment and support services; (3) prevent unnecessary inpatient hospitalization; and (4) expedite the provision of services in the most medically appropriate level. Allows the grants to be used by the grantee to provide assistance to any public or nonprofit private clinic, sub-acute care facility, community health center, or ambulatory care facility that is providing services to a disproportionate share of low income individuals and families with HIV disease and is expending resources that exceed reimbursement. Requires that agencies and institutions that will receive funds under these provisions be participants in an established HIV community-based continuum of care. Authorizes appropriations. Title IV: Emergency Response Employees - Directs the Secretary to make grants to States and their political subdivisions to assist in the implementation of Federal law mandating the dissemination of guidelines to emergency response employees (EREs) regarding reducing the risk in the workplace of becoming infected with the etiologic agent for AIDS and circumstances under which exposure may occur. Authorizes appropriations. Requires a medical facility to notify the designated officer of the transporting EREs if the facility determines that a victim the EREs transported to the facility has an infectious disease. Requires a medical facility, upon request of a designated officer of EREs, to notify the designated officer if the facility makes a determination that a victim transported by EREs has an infectious disease. Applies notification requirements to both the facility receiving the victim and, if the victim dies, to the facility ascertaining the cause of death. Sets forth notification procedures. States that the public health officer of each State will designate one official of each employer of EREs to make requests and receive notifications. Provides for notification of EREs and for requests from an ERE to a designated officer that the designated officer request notification from the medical facility. Declares that the provisions in this Act regarding notification of EREs will not be construed to authorize or require: (1) a medical facility to test a victim of an emergency for any infectious disease; and (2) any medical facility, any designated officer, or any ERE to make disclosures with respect to the identity of a victim. Provides for enforcement through civil money penalties, injunctions, and a civil cause of action by an aggrieved individual. Title V: Health Care Services - Directs the Secretary, through the Administrator of the Health Resources and Services Administration, to make grants for demonstration projects to provide comprehensive treatment services for individuals infected with the etiologic agent for AIDS. Authorizes appropriations. Directs the Secretary, through the Administrator, to make grants to States to assist in purchasing and distributing certain AIDS-related drugs. Authorizes appropriations. Title VI: Certain Definitions - Sets forth definitions for purposes of the new title of the Public Health Service Act, on preventive health services with respect to AIDS, as added by this Act. Title VII: General Provisions - Mandates a study relating to the incidence of AIDS and infection with the etiologic agent for AIDS in rural areas, and the adequacy of related diagnostic and treatment services in such areas.
United States · United States Congress · 4 April 1990
Medicare Certified Registered Nurse Anesthetist Payment Amendments of 1990 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to establish uniform national fee schedule payment rates for certified registered nurse anesthetist services.
United States · United States Congress · 4 April 1990
Amends title XIX (Medicaid) of the Social Security Act to cover personal care services prescribed by a physician, supervised by a registered nurse, and provided to an individual who is not an inpatient or resident of a hospital or nursing facility.
United States · United States Congress · 4 April 1990
Amends title XVIII (Medicare) of the Social Security Act to prohibit the implementation of sanctions against a hospital for violating Medicare emergency medical condition screening and treatment requirements until a peer review organization makes a finding as to whether such a violation has occurred.
United States · United States Congress · 4 April 1990
Amends title XIX (Medicaid) of the Social Security Act to disregard reparation payments made by the Federal Republic of Germany in the post-eligibility computation of income for individuals who reside in nursing homes or receive home- or community-based services.
United States · United States Congress · 4 April 1990
Rural Nursing Incentive Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to provide direct coverage under part B (Supplementary Medical Insurance) of the Medicare program of nurse practitioner or clinical nurse specialist services furnished in rural areas. Sets the Medicare payment for such services at 80 percent of the lesser of the actual charge or the prevailing charge that would have been recognized had the services been performed by a physician. Requires that such payments be made on an assignment-related basis.
United States · United States Congress · 4 April 1990
Medicaid Home Respiratory Care Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to require States to cover home respiratory care services for ventilator-dependent individuals.
United States · United States Congress · 4 April 1990
Medicare Physician Regulation Relief Amendments of 1990 - Amends title XVIII (Medicare) of the Social Security Act to require carriers and peer review organizations to release the medical review screen or the associated screening parameter to a physician before notifying such physician that payment for his or her service has been denied. Permits Medicare reimbursement of a patient's regular physician for services provided to such patient by another physician who occasionally covers for the regular physician. Requires Medicare carriers to provide physicians, upon request and without charge, with carrier-generated information which physicians need to submit a payment claim or respond to a carrier inquiry. Allows a medical society or other professional organization representing physicians to represent a group or class of physicians in Medicare payment determinations, reconsiderations, or appeals. Directs the Secretary of Health and Human Services to appoint, based on nominations submitted by national medical organizations representing physicians, a Practicing Physicians Advisory Council with which the Secretary must consult concerning changes in the Medicare program and proposed changes in regulations and carrier operation policies.
United States · United States Congress · 4 April 1990
Allied Health Professionals Promotion Act of 1990 - Amends provisions of the Public Health Service Act relating to grants and contracts concerning training of allied health personnel to direct the Secretary of Health and Human Services to allocate 75 percent of the funds authorized to those allied health fields the Secretary determines to have: (1) the most significant shortages of practitioners; and (2) a significant role in the care and rehabilitation of patients who are elderly or disabled. Makes payments of tuition under these provisions to, or on behalf of, a participating student notwithstanding other law, exempt from taxation. Authorizes appropriations. Changes the amount of currently authorized appropriations for traineeships for advanced training of allied health personnel. Establishes the Division of Allied Health Professions within the Health Resources and Services Administration's Bureau of Health Professions in order to consolidate and focus the efforts of the Federal Government in support of allied health education, training, and research. Establishes within the Division the Advisory Council on Allied Health. Directs the Secretary to establish a two-year pilot program to make grants to support innovative allied health research projects. Requires the program to be administered through the Division. Authorizes appropriations.
United States · United States Congress · 4 April 1990
State Offices of Rural Health Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, through the Director of the Office of Rural Health Policy, to make grants to States to improve the availability, quality, and cost-effectiveness of rural health care. Requires State grant recipients to expend the grant for operation of an office of rural health. Directs the Secretary to: (1) annually convene a conference of representatives of the Office of Rural Health Policy and of the offices operated under this Act to discuss such improvements; and (2) request the attendance of representatives of such State offices without regard to whether a State is a grantee. Authorizes appropriations.
United States · United States Congress · 4 April 1990
Medicare Physician Qualification Act of 1990 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to condition Medicare payments for physician services on the physician: (1) having passed, during the year or during any of the previous seven years, a competency examination developed by the Secretary of Health and Human Services, or offered by specified medical organizations and approved by the Secretary; or (2) being licensed as a physician in a State with a physician licensure program that requires periodic relicensure and is approved by the Secretary. Prohibits a physician who does not meet such qualifications from furnishing a service to an individual prior to such individual's written agreement to pay for such service. Directs the Physician Payment Review Commission to conduct a study and report to the Congress on current methodologies of evaluating the competence of physicians.
United States · United States Congress · 4 April 1990
Rural Hospital Payment Equity Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to equalize average standardized Medicare payments for urban and rural hospitals. Requires the Security of Health and Human Services to collect data on compensation and paid hours of employment for hospital employees in various occupational categories and use such data to establish a professional and non-professional occupational component for each area wage index used in reimbursing hospitals for wage-related costs. Directs the Secretary to develop a legislative proposal allowing for the adjustment of a rural hospital's wage index by substituting the professional occupational component of the wage index used in the nearest metropolitan area for the professional occupational component that would otherwise apply to such rural hospital's area wage index.
United States · United States Congress · 4 April 1990
Designates May 13, 1990, as Infant Mortality Awareness Day.
United States · United States Congress · 4 April 1990
Commends the National Mental Health Leadership Forum and the National Advisory Mental Health Council for cosponsoring a series of public hearings in 1990 addressing mental health issues.
United States · United States Congress · 3 April 1990
Organ Procurement Process Review Act of 1990 - Amends the Public Health Service Act to require that an organ procurement organization (OPO), in order to be eligible to receive certain grants, have a service area of sufficient size which will include not less than 50 potential organ donors each year. (Current law requires a service area of sufficient size such that the organization can reasonably expect to procure organs from not less than 50 donors each year.) Repeals provisions of the Health Omnibus Programs Extension of 1988 which delay the effective date of certain related amendments, with regard to an OPO designated under specified provisions of the Social Security Act, until two years after the initial designations of the organization. Directs the Secretary of Health and Human Services to establish the National Advisory Committee for Review of the Organ Procurement Process.
United States · United States Congress · 3 April 1990
Extends the authorized length of temporary employment appointments by the Secretary of Veterans Affairs of certain health-care personnel from one to two years for persons who have successfully completed a full course of training as a nurse, physical therapist, practical or vocational nurse, occupational therapist, or pharmacist in a recognized school approved by the Secretary and for whom registration or licensure in a State or certification by a national board recognized by the Secretary is pending. Allows a student who has such a temporary appointment and who is pursuing an academic program leading to an appropriate degree in such a field of study to be reappointed by the Secretary for a period not to exceed the duration of the student's academic program.
United States · United States Congress · 3 April 1990
Patient Self Determination Act of 1990 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require hospitals, skilled nursing facilities, home health agencies, hospice programs, and health maintenance organizations to: (1) inform patients of their rights under State law to make decisions concerning their medical care; (2) periodically inquire as to whether a patient executed an advanced directive and document the patient's wishes regarding their medical care; (3) not discriminate against persons who have executed an advance directive; (4) ensure that legally valid advance directives and documented medical care wishes are implemented to the extent permitted by State law; and (5) provide educational programs for staff, patients, and the community on ethical issues concerning patient self-determination and advance directives. Directs the Secretary of Health and Human Services to: (1) arrange with the Institute of Medicine of the National Academy of Sciences for a study assessing the implementation of directed health care decisions; and (2) develop and implement a demonstration project in selected States to inform the public of the option to execute advance directives and a patient's right to participate in and direct health care decisions.
United States · United States Congress · 3 April 1990
Designates the week of June 3 through 9, 1990, as National Children's Community Immunity Week.
United States · United States Congress · 3 April 1990
Designates the week of November 12 through 18, 1990, as National Critical Care Awareness Week.
United States · United States Congress · 29 March 1990
Designates September 16 through 22, 1990, as National Rehabilitation Week. Urges each State Governor and local government chief executive to issue proclamations calling upon their citizens to observe such week with appropriate ceremonies and activities.
United States · United States Congress · 29 March 1990
Designates September 13, 1990, as National DARE (Drug Abuse Resistance Education) Day.
United States · United States Congress · 29 March 1990
Declares that the Congress should: (1) establish a program of research for the development of methods of contraception and methods of diagnosing and treating infertility; (2) provide adequate long-term resources for the program; (3) ensure that Federal programs with respect to sexually transmitted diseases adequately respond to the role of such diseases in infertility; (4) ensure public education on contraception and infertility; (5) establish as Federal goals the development, by the year 2010, of improved barrier methods to protect against pregnancy and diseases, new methods of contraception for use by men, a vaccine-like drug for women that prevents pregnancy for a significant period of time without other specified effects, and new and improved techniques of diagnosing and treating infertility; (6) require the Secretary of Health and Human Services to reestablish the Ethical Advisory Board in order to facilitate research with respect to infertility; (7) review the policies and procedures of the Food and Drug Administration with respect to expediting approval of drugs and devices for use by the public, especially with respect to contraception and infertility; and (8) determine to what extent measures can be implemented by public or private entities to resolve liability issues involved with drugs and devices concerned with contraception and infertility.
United States · United States Congress · 29 March 1990
Designates September 13, 1990, as National DARE (Drug Abuse Resistance Education) Day.
United States · United States Congress · 28 March 1990
Medicaid AIDS Hospital Payment Adjustment Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to require States to increase payments for inpatient hospital services delivered to Medicaid-eligible individuals who have acquired immune deficiency syndrome (AIDS) by hospitals serving high volumes of AIDS victims.
United States · United States Congress · 27 March 1990
Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Administrator of the Health Resources and Services Administration, to make between ten and 50 (currently, between three and five) grants to States or individuals (currently, to States) for demonstration projects involving health care services in the home. Requires five of such grants to go to the current grantees, with 50 percent of the remainder going to States and 50 percent to individuals. Requires grant applications to be submitted to the Governor of the State in which the applicant resides. Authorizes appropriations.
United States · United States Congress · 22 March 1990
Designates the week beginning July 22, 1990, as Lyme Disease Awareness Week.
United States · United States Congress · 22 March 1990
Amends the Federal judicial code to make amounts from the Department of Justice Assets Forfeiture Fund available for grants to support trauma care services provided by local nonprofit hospitals. Specifies that the total amount of grants to a hospital shall bear the same ratio to the amount made available under this Act as the total amount of deposits in the Fund from property seized in localities served by the hospital bears to the total of deposits in the Fund.
United States · United States Congress · 22 March 1990
Designates the week beginning July 22, 1990, as Lyme Disease Awareness Week.
United States · United States Congress · 21 March 1990
Medigap Fraud and Abuse Prevention Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to increase: (1) the maximum civil penalty which may be imposed on agents who use fraudulent and deceptive practices to sell Medicare supplemental insurance policies; and (2) the percentage of premiums which must be returned to policyholders as benefits. Forbids agents from knowingly selling policies that duplicate a beneficiary's current coverage in any way. Requires States to establish a process for approving or disapproving proposed policy premium increases. Requires that Medicare supplemental insurance policies submit, at least annually, premium and benefit information to the State in which they are issued. Directs the Secretary of Health and Human Services to provide matching grants to States which: (1) meet specified requirements for the establishment of a toll-free telephone hotlines providing individuals with Medicare supplemental insurance information; and (2) disseminate an educational brochure which summarizes the hotline's features.
United States · United States Congress · 21 March 1990
Organ Procurement Process Review Act of 1990 - Amends the Public Health Service Act require that an organ procurement organization (OPO), in order to be eligible to receive certain grants, have a service area of sufficient size which will include not less than 50 potential organ donors each year. (Current law requires a service area of sufficient size such that the organization can reasonably expect to procure organs from not less than 50 donors each year.) Repeals provisions of the Health Omnibus Programs Extension of 1988 which delay the effective date of certain related amendments, with regard to an OPO designated under specified provisions of the Social Security Act, until two years after the initial designations of the organization. Directs the Secretary of Health and Human Services to establish the National Advisory Committee for Review of the Organ Procurement Process.
United States · United States Congress · 21 March 1990
Designates the week of October 9 through 13, 1990, as National Health Care Food Service Week.
United States · United States Congress · 20 March 1990
Designates the week of October 7 through 13, 1990, as National Health Care Food Service Week.
United States · United States Congress · 20 March 1990
Designates the week of June 10, 1990, as National Scleroderma Awareness Week.
United States · United States Congress · 15 March 1990
District of Columbia Mental Health Program Assistance Act of 1990 - Amends the Saint Elizabeths Hospital and District of Columbia Mental Health Services Act to authorize the Secretary of Health and Human Services to provide funds to the Mayor of the District of Columbia for the completion of repairs and renovations to Saint Elizabeths Hospital and for other capital improvements necessary for the safe and cost effective delivery of mental health services. Limits the amount of such funds available for capital improvements to facilities not located at Saint Elizabeths Hospital. Authorizes appropriations for FY 1991 to the District of Columbia Commission on Mental Health Services for carrying out mental health training programs at Saint Elizabeths Hospital. Extends from October 1, 1991, to October 1, 1993, the deadline by which the District of Columbia must have in operation an integrated coordinated mental health system and complete repairs and renovations to Saint Elizabeths Hospital. Requires the Congress to approve the Mayor's master plan for the use of that portion of Saint Elizabeths Hospital not yet transferred to the District of Columbia within two years, rather than one year, after the Mayor submits such plan to the Congress.
United States · United States Congress · 15 March 1990
Health Insurance for Children and Mothers Act of 1990 - Establishes a health insurance program under a new title XXI of the Social Security Act which is to be financed by an increase in the payroll tax paid by employers and employees and cover children under age 23 and pregnancy-related care for all women. Provides the same benefits to children as are provided to individuals entitled to benefits under part A (Hospital Insurance) and enrolled under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act. Waives the application of deductibles, coinsurance, or copayments to normal newborn care, pediatrician services for high-risk deliveries, routine office visits, routine immunizations, routine laboratory tests, and preventive dental care provided to children under title XXI. Covers prenatal care, inpatient labor and delivery services, postnatal care, and postnatal family planning services for all women under title XXI without the application of deductibles, coinsurance, or copayments. Requires peer review organization authorization prior to the delivery of such pregnancy-related items and services which are not routine, common, or delivered in exigent circumstances. Sets forth payment provisions which include an incentive for first trimester prenatal care and a disincentive for cesarean sections. Establishes the Children and Mothers Health Insurance Trust Fund which shall be administered by the Board of Trustees of the Federal Hospital Insurance Trust Fund and into which funds collected by the increase in the payroll tax shall be paid. Makes various provisions regarding the administration of the Medicare program applicable to the health insurance program for children and mothers under title XXI.
United States · United States Congress · 15 March 1990
Designates July 8 through 14, 1990, as National Agent Orange Screening Awareness Week.
United States · United States Congress · 15 March 1990
Designates the week of June 1 through June 7, 1990, as National Polio Awareness Week.
United States · United States Congress · 14 March 1990
Rural Health Improvement Act of 1990 - Title I: Tax Provisions - Amends the Internal Revenue Code to provide tax credits to physicians, physician assistants, and nurse practitioners for the first five years of their practice in a rural area. Excludes from gross income any payments made on behalf of a taxpayer by the National Health Service Corps Loan Repayment program. Permits physicians to expend up to $25,000 annually for the purchase of basic equipment used in providing primary care services in rural areas. Title II: Public Health Service Provisions - Amends the Public Health Service Act to include disadvantaged individuals and minorities and individuals living in, or intending to serve, medically underserved areas among the priority clientele of the National Health Service Corps Scholarship and Loan Repayment programs. Increases the amount of coverage authorized under the Loan Repayment program. Increases funding for area health education centers. Targets Public Health Service funds to county health departments for preventive health services. Title III: Social Security Provisions - Amends title XVIII (Medicare) of the Social Security Act to provide for: (1) the elimination, by January 1, 1991, of separate average standardized Medicare payments for large urban, other urban, and rural hospitals; and (2) full implementation, by January 1, 1992, of a resource-based relative value scale for determining Medicare payments to physicians. Covers nurse practitioner services furnished in rural areas. Establishes uniform national payment rates for certified registered nurse anesthetist services. Permits physician assistants to provide Medicare-covered services in rural areas without regard to whether such areas are manpower shortage areas. Title IV: Miscellaneous Provisions - Waives the application of antitrust laws against rural hospitals which engage in joint activities that include, purchasing, contracting for specified services, and the sharing of personnel. Directs the Secretary of Health and Human Services to determine which Medicare regulations affecting rural hospitals could be made less burdensome without diminishing the quality of care such hospitals provide to Medicare beneficiaries.
United States · United States Congress · 14 March 1990
Tuberculosis Prevention Amendments of 1990 - Amends provisions of the Public Health Service Act authorizing appropriations for grants for preventive health services for tuberculosis to specify that the services are for the prevention, control, and elimination of tuberculosis. Amends provisions authorizing grants relating to the prevention and control of diseases that may be prevented through vaccination to add the goal of elimination of such diseases. Authorizes appropriations.
United States · United States Congress · 14 March 1990
Amends title XVIII (Medicare) of the Social Security Act to cover colon cancer preventive screening examinations, an annual physical examination performed by a physician or nurse practitioner, and verbal and written mental health screening examinations if a demonstration project to be conducted by the Secretary of Health and Human Services proves such examinations to be cost-effective or of moderate cost but measurably health enhancing.
United States · United States Congress · 14 March 1990
Medicare Rehabilitation and Long-Term Hospital Rebasing Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to adjust the base year applied in determining the amount of payments to be made to rehabilitation and long-term hospitals under part A (Hospital Insurance) of the Medicare program.
United States · United States Congress · 14 March 1990
Designates April 16, 1990, as National Sarcoidosis Awareness Day.
United States · United States Congress · 14 March 1990
Designates the week beginning June 10, 1990, as National Scleroderma Awareness Week.
United States · United States Congress · 14 March 1990
Designates the month of May 1990 as National Physical Fitness and Sports Month.
United States · United States Congress · 13 March 1990
Comprehensive Health Care for All Americans Act (Claude Pepper Comprehensive Health Care Act) - Division A: Comprehensive Health Care Act- Comprehensive Health Care Act - Title I: Universal Eligibility and Enrollment - Makes a U.S. resident who is a lawful resident alien or a U.S. citizen or national eligible to enroll in a health plan approved by the Comprehensive Health Care (CHC) program of the State in which he or she resides. Makes the enrollment of Medicare (title XVIII of the Social Security Act) beneficiaries applicable only to benefits not covered by the Medicare program. Title II: Benefits and Providers - Lists the basic health services which health plans must provide, to which Federal funding will be limited, and which may not include items or services for which Medicare coverage is unavailable. Permits States or health plans to offer additional health care benefits. Prohibits private health insurance from duplicating basic health service coverage. Restricts limitations on the amount, duration, or scope of basic health services to be provided to enrollees. Makes Medicare provider standards applicable to providers of basic health services. Authorizes the National CHC Board to impose additional conditions on providers of high-risk, high-cost, elective, or over-utilized items or services. Title III: Financing - Sets forth the procedure for determining CHC program budgets and the formula for determining the Federal share of expenditures. Establishes a Health Security Partnership Fund for each State into which revenues to finance the CHC program shall be placed. Requires each State CHC program to make monthly payments to health plans equal to their adjusted average per capita costs for required services provided to each class of enrollee they serve. Requires providers to accept payment from health plans on an assigned basis. Directs the National CHC Board to develop financial incentives in payment methods to promote a continuum of care. Pays institutional providers pursuant to a biennial prospective budgeting system to be developed by each State. Pays physicians pursuant to payment schedules based on a national relative value scale to be developed by the National CHC Board, but allows alternative payment mechanisms if they are no more costly than the payment schedules. Makes CHC payment methodologies established in a State applicable to Medicare payments for services furnished in such State. Provides States with Federal funds for implementing their CHC programs. Limits the cost-sharing amounts health plans may charge enrollees. Bans the imposition of any cost-sharing requirements on individuals whose family income is less than 200 percent of the Federal poverty level. Establishes the Federal Long-Term Care Trust Fund from which Federal payments to States for long-term care benefits in the State shall be made. Title IV: Administration - Establishes a National CHC Board as an independent agency responsible for the overall administration of the Comprehensive Health Care Act. Directs each State to submit its CHC program to the National CHC Board for review of the program's compliance with specified requirements. Imposes sanctions against States whose program fails to meet such requirements and who fail to take corrective action within 90 days of a finding of noncompliance. Requires the National CHC Board to establish a National Commission on Quality to establish, evaluate, and update national minimum standards to assure the quality of CHC services and to monitor State CHC Boards' quality assurance efforts. Requires each State CHC Board to establish a State Commission on Quality to implement national minimum standards in each State. Directs the National CHC Board to establish a National Advisory Commission on Technology Assessment and Clinical Effectiveness to make recommendations related to the effectiveness of health care items and procedures, and the possible coverage of new drugs and technological procedures and discontinuance from coverage of inefficient procedures. Establishes a National Resources Equalization Fund to be administered by the National CHC Board and used to augment the capability of medically under-developed areas to provide CHC services and to strengthen their abilities to provide local services. Authorizes appropriations for such Fund. Title V: Effective Dates; Transition; Relation to Other Programs - Makes the CHC program applicable to health care services furnished during the third calendar year beginning after this Act's enactment. Authorizes appropriations for the planning and development of State CHC programs. Requires Federal Employee Health Benefit Plans to be CHC-approved. Establishes the CHC program's relationship to other health care programs, making the Medicare program the primary payor in the event of duplicative CHC program coverage and the Medicaid program (title XIX of the Social Security Act) inapplicable in States having an operative State CHC program. Division B: Life Care Long-Term Care Protection Act - Lifecare Long-Term Care Protection Act - Adds a new title to the Social Security Act: Lifecare Long-Term Care Protection Program. Requires Long-Term Care Screening Agencies to assess individuals' eligibility for home and community-based care and Long-Term Care Case Management Agencies to conduct comprehensive needs assessments of eligible individuals, develop plans of care for such individuals, review such plans at least once every three months, and maintain a registry of qualified providers of home and community-based and nursing home care to assist individuals in choosing qualified providers to carry out their care plan. Sets the method for determining State fund contributions. Sets forth eligibility requirements for home and community-based care services, including requirements that the individual be: (1) 65 or older, under age 19, or eligible for benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act as the result of a disability; and (2) dependent, cognitively impaired, or unable to perform daily living activities without assistance or supervision. Enumerates the criteria for receipt of respite care benefits. Lists those entities considered to be qualified service providers, including adult day health care centers certified by the State. Directs the Secretary of Health and Human Services to make monthly payments to each case management agency equal to amounts allotted by the screening agency for eligible individuals in the case management agency's jurisdiction. Requires such agencies to make direct payments to qualified providers of home and community-based care which shall be accepted as payment in full for such services. Limits payments for home health and community-based care for the next three years to 65 percent of the average amount payable for Medicare nursing home care and, for subsequent years, to the costs of nursing home care minus the costs of room and board. Allots payments among individuals on the basis of severity of need with chronically ill individuals receiving amounts equivalent to Medicaid (title XIX of the Social Security Act) payments for institutional care. Establishes the Home and Community-Based Care Advisory Council to review and assist the Secretary in the implementation of home and community-based care. Requires States to establish quality assurance boards to monitor quality of care and a community advisory board for each case management agency. Establishes a home and community-based care consumers' bill of rights. Imposes quality assurance requirements on providers of such care, including the requirement that they implement consumer grievance review mechanisms, ensure that their employees and other providers whom they have under contract have received adequate training, and annually evaluate the care furnished by such employees and providers. Establishes certification procedures for a survey of home care agencies, home health agencies, and adult day care health centers to determine eligibility for participation in the program under this Act. Outlines reimbursement procedures. Provides, subject to certain limitations, for nursing facility services for up to six months for individuals who are eligible for home and community-based care services. Allows additional nursing home coverage if: (1) the individual has not been an inpatient for at least six consecutive months; (2) the diagnosis is different; or (3) there has been a substantial worsening of the individual's condition since the latest discharge. Directs the Secretary to establish an optional insurance program for individuals 45 and over to cover nursing home stays that exceed six months. Prescribes procedures for setting premium rates and requires annual rate revisions by the Secretary. States that the rates are expected to cover 45 percent of the estimated nursing home costs of stays exceeding six months. Covers a portion of a low-income individuals' premium and room and board costs. Requires the Secretary to give individuals the option of purchasing coverage of nursing home stays exceeding six months without regard to age. Requires the Secretary, to the extent feasible, to establish a prospective payment mechanism for payment of nursing home services that takes into account the expected resource utilization of the patient based on the degree of disability and other factors. Requires the making of grants to schools of nursing, social work, allied health, and public health of universities to develop training programs for the provision of home and community-based care and nursing home care for the elderly , the disabled, and chronically ill children, and in the administration of such programs. Authorizes appropriations through FY 1993. Requires that grants be made to State-approved programs to train individuals in the provision of home health aide services. Authorizes appropriations through FY 1993. Requires the making of grants to university schools of nursing to develop model consumer training programs regarding the delivery of home care services. Authorizes appropriations through FY 1993. Requires that grants or contracts be made to assist public and private nonprofit entities in meeting the costs of developing centers for multidisciplinary health planning development and assistance. Authorizes appropriations through FY 1994. Directs the Secretary to conduct demonstration projects to determine the relative effectiveness, cost, and impact on quality of long-term home care of using different models of providing and reimbursing long-term home care services for seriously mentally ill individuals and family caregivers. Authorizes appropriations from the Federal Hospital Insurance Trust Fund. Mandates demonstration projects on the feasibility of providing long-term home care benefits for working-age individuals with severe functional limitations. Directs the Secretary to make specified amounts available from such Fund. Division C: Grants to States for Establishment and Implementation of State Health Objectives Plans - Health Objectives 2000 Act - Amends the Public Health Service Act to authorize appropriations for allotments to States for developing and implementing a plan to develop and collect data on the public health needs and status of State residents. Requires the plan to provide, for FY 1993 and thereafter, for use of the allotments for additional purposes described in specified provisions relating to preventive health and health services block grants. Requires the State plan to contain, among other elements, a set of at least five State health objectives chosen from the National Health Priorities described by the Secretary of Health and Human Services under this Act. Directs the Secretary to establish: (1) the National Health Objectives Advisory Committee; (2) National Health Priorities (NHPs) to form the basis for all activities that receive assistance under this Act; (3) from the NHPs, a set of Core Priorities that shall be included in each State Plan; and (4) an estimate of the personnel and training needed to accomplish the NHPs. Directs the Secretary, from the amounts made available for allotments, to use: (1) a limited amount for the professional training of public health personnel; and (2) remaining amounts to assist research, pilot and demonstration projects and programs the Secretary determines to show the potential impact of regional or national significance with respect to NHPs. Repeals specified provisions relating to preventive health and health services block grants. Division D: Independence for Older Americans - Independence for Older Americans Act - Title I: Task Force on Independence for Older Americans - Establishes a Task Force on Independence for Older Americans in the Department of Health and Human Services to: (1) coordinate Federal research on conditions and diseases leading to dependence among the elderly; (2) establish mechanisms for the use of research results in improving the quality of life for older Americans; and (3) review and evaluate public and private spending on such research. Authorizes appropriations for such Task Force. Title II: Geriatric Research and Training Centers - Amends the Public Health Service Act to require the Director of the National Institute on Aging to enter into cooperative agreements with, and make grants to, public and private nonprofit entities for the development of comprehensive centers of excellence for geriatric research and training of researchers and for the demonstration and dissemination of the applications of such research. Authorizes appropriations for such centers. Title III: Availability of Information to Health Professionals, Older Americans, and the General Public - Directs the Secretary of Health and Human Services to prepare a comprehensive plan for a National Independence for Older Americans Information Program. Provides for the establishment of an information clearinghouse, a toll-free telephone communications system, and public information campaigns concerning the maintenance and improvement of the health and independence of older Americans. Authorizes appropriations to carry out this title. Title IV: Prevention of and Recovery from Chronic Illness - Requires the National Institute on Aging to support research, and report to the Congress on the most effective: (1) techniques of geriatric assessment; (2) method of targeting comprehensive geriatric assessment to appropriate populations of older persons to determine their health care needs; and (3) means of providing for such needs to maximize health and independence. Directs the Secretary to develop: (1) model techniques to aid in the prevention and rehabilitation of older persons from frailty and other mobility problems; and (2) model curricula for the health professions for training in the use of such techniques. Authorizes the National Institute on Aging to establish up to five demonstration programs at Comprehensive Independence Research Training and Demonstration Centers to prevent the loss of mobility and to help frail older persons regain independence, using existing and experimental techniques. Directs the Secretary to conduct research on the extent to which falls are associated with the loss of an individual's confidence in functioning independently and his or her need for long-term care. Requires the Secretary to develop and report to the Congress on the development of: (1) model techniques to aid in the recovery and rehabilitation of older persons from chronic and debilitating illness; and (2) model curricula for the health professions for training in the use of such techniques. Authorizes appropriations to carry out this title. Title V: Research on Health, Retirement, and Independence - Directs the Secretary to: (1) commence a ten-year health and retirement history survey; and (2) establish an advisory panel on data collection to review existing government surveys and census data to coordinate information on the health and retirement status of older Americans. Requires the National Center for Health Statistics to: (1) include persons age 75 and over in the National Health and Nutrition Examination Survey; (2) develop questions related to health promotion and disease prevention for older persons for inclusion in the National Health Interview Survey and the National Health and Nutrition Examination Survey; and (3) develop questions related to the health promotion and disease prevention practices of health care providers with special relevance to older persons for inclusion in the National Ambulatory Medical Care Survey. Directs the National Institute on Aging to request proposals from individual and team investigators on behavioral, social, and environmental mechanisms for promoting the health and independence of older Americans. Authorizes appropriations for carrying out this title. Title VI: Authorization of Appropriations for NIH - Authorizes FY 1991 appropriations to be added to the National Institute on Aging and other institutes in proportion to their current spending levels on aging research. Division E: Authorization of Additional Funds for Research for AIDS, Hypertension, Sickle Cell Anemia, Infant Mortality, and Breast Cancer - Authorizes additional appropriations for research for acquired immune deficiency syndrome (AIDS), hypertension, sickle cell anemia, infant mortality, and breast cancer.