Records whose title is actually about this topic. Use a country filter if the list is still too broad.
Records
Bill· HRH.R. 2856 (102nd)referred
United States · United States Congress · 10 July 1991
Uniform Services Treatment Facilities Provider Clarification Act of 1991 - Prohibits the Secretary of Health and Human Services from taking any action to recover amounts that were paid under title XVIII (Medicare) of the Social Security Act to uniformed services treatment facilities in Boston, Massachusetts, Baltimore, Maryland, and Seattle, Washington, for services provided between October 1, 1986, and December 31, 1989.
Bill· HRH.R. 2855 (102nd)referred
United States · United States Congress · 10 July 1991
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to determine whether an individual entitled to benefits under part A (Hospital Insurance) meets the requirements for status as a qualified Medicare beneficiary under the Medicaid program (title XIX of the Social Security Act).
Bill· HRH.R. 2865 (102nd)referred
United States · United States Congress · 10 July 1991
Amends the Public Health Service Act to allow grants and contracts relating to health care for rural areas to be used for model programs to: (1) conduct interdisciplinary research; and (2) deliver health care promotion and disease prevention services to individuals residing in rural areas. Adds to the list of eligible applicants nonprofit public organizations and schools of, or programs in, physical therapy. Declares that the Pacific Basin is included in the definition of "rural area." Authorizes appropriations.
Bill· HRH.R. 2845 (102nd)referred
United States · United States Congress · 10 July 1991
Directs the Secretary of Veterans Affairs to establish in Hawaii a post-traumatic stress disorder (PTSD) diagnosis and treatment facility to be known as the Pacific Center for Post-Traumatic Stress Disorder and War-Related Disorders. Outlines PTSD activities to be conducted at the Center, including: (1) the provision of inpatient and outpatient care services for veterans and members of the armed forces who live in the Pacific jurisdiction; (2) education and training programs on the disorder for health care and human service professionals; (3) scientific research; (4) the coordination of PTSD research and treatment activities in Hawaii; and (5) the collection and dissemination of information regarding the diagnosis and treatment of PTSD, other war-related disorders, and disaster-related mental health problems. Directs the Secretary to ensure that such activities provide special emphasis on investigating the relationship between PTSD and the various cultural, ethnic, gender, and other psychological and social characteristics of persons who suffer from the disorder.
Law· SJRESS.J.Res. 174 (102nd)enacted
United States · United States Congress · 8 July 1991
Designates May 1992 as National Amyotrophic Lateral Sclerosis Awareness Month.
Bill· SS. 1435 (102nd)open
United States · United States Congress · 2 July 1991
International Security and Economic Cooperation Act of 1991 - Title I: Statement of Policy; Development Assistance Programs - Amends the Foreign Assistance Act of 1961 to revise policy provisions. Declares that assistance provided under such Act, the Arms Export Control Act, and any Act authorizing or appropriating funds for use under such Acts should serve the following goals: (1) to promote and consolidate democratic values and institutions; (2) to promote U.S. national security interests and peace; (3) to promote economic growth through competitive markets with equitable distribution of benefits; (4) to promote human resource development and meet urgent humanitarian needs; and (5) to protect against transnational threats. States that development assistance programs should have the following four objectives: (1) to address the problem of poverty; (2) to promote broad-based free market economies and sustainable economic growth; (3) to promote improved environmental, natural resource, and agricultural management in developing countries; and (4) to promote democracy and political, social, and economic pluralism. Expresses the sense of the Congress that the United States should: (1) concentrate development assistance in countries which will make the most effective use of such assistance; (2) focus development assistance on activities which the United States can provide most effectively and which meet the particular economic assistance requirements of a country; and (3) not provide assistance if the relevant sector or economic policies of a country are unfavorable to the sustainability or impact of the assisted project. Authorizes appropriations for FY 1992 and 1993 for agriculture, rural development, and nutrition assistance. Authorizes the President to furnish assistance to prevent and control acquired immune deficiency syndrome (AIDS). Declares that 45 percent of such assistance should be provided to the World Health Organization for use in financing its Global Program on AIDS. Calls upon the agency primarily responsible for administering development assistance (administering agency) to set as a goal the reduction of under five mortality rates by at least one-third by the year 2000. Authorizes appropriations for FY 1992 and 1993 for: (1) voluntary family planning; (2) health programs; (3) education, public administration, and human resource development; and (4) private sector, environment, energy, and special development activities. Prohibits funds authorized under the Foreign Assistance Act of 1961 that are intended for projects requiring environmental impact statements, assessments, or analyses from being obligated or expended prior to the consideration of public comment on any options connected with such projects. Prohibits funds authorized to be appropriated for such Act from being used for projects that would result in any significant loss of primary tropical forests. Directs the administrator of the administering agency to increase the involvement of private and voluntary organizations and cooperatives in assistance programs. Encourages the administrator to support development education programs. Increases the percentage of funds to be made available or channeled for each fiscal year (currently, FY 1986 through 1989) to private and voluntary organizations for specified development activities. Permits funds for child and mother health needs, the Child Survival Fund, and AIDS to be made available notwithstanding restrictions on assistance to foreign countries. Requires the administrator to ensure that: (1) development assistance activities incorporate the active participation of local women; (2) sex-disaggregated data is included in country development strategy statements for major sectors in which assistance is to be provided and in project papers and program assistance approval documents; (3) programs are designed so that the percentage of women who benefit from such assistance exceeds the approximate transitional level of participation of women in the sector for which assistance is being provided; and (4) program assistance evaluations include an assessment of the extent to which women are participating in the activity and the impact of the activity on the self-reliance of women and improving their incomes. Requires a specified amount to be made available each fiscal year as matching funds to support activities of the missions of the agency which demonstrate potential for integrating women into programs. Title II: Other Assistance Programs and Authorizations - Authorizes appropriations for FY 1992 and 1993 for American schools, libraries, and hospitals abroad. Expresses the sense of the Congress that: (1) U.S. citizens give every consideration to founding or sponsoring American schools in Eastern Europe and the Soviet Union to serve as study centers for U.S. ideas and practices; and (2) the American University of Blagoevgrad in Bulgaria is to be commended for its efforts in founding an American school to serve such purposes. Redesignates the private sector revolving fund as the private sector credit program. Eliminates provisions concerning funding, remittance of excess assets, fees, and the transfer of unobligated funds. Permits fees to be charged for guarantees and loans issued under the program. Limits the amount of contingent liability for guarantees in FY 1992 and 1993. Authorizes appropriations for FY 1992 and 1993 for administrative expenses of the program. Raises the ceiling on the principal amount of housing guaranties authorized to be issued under the worldwide shelter program. Continues the authority of the housing guaranty program through FY 1993. Repeals provisions concerning agricultural and productive credit and self-help community development programs. Provides that guaranties issued in connection with loans made for housing and infrastructure in Israel for Soviet refugees shall not be subject to specified face value limitations. Requires fees to be charged for housing guaranties. Raises the ceiling on the total face value of guaranties authorized to be issued with respect to any country in a fiscal year. Provides that the principal amount of guaranties issued shall be comparable to the amount issued for FY 1984, subject to dollar value limitations. Authorizes appropriations for FY 1992 and 1993 to pay the cost of guranties with a specified face value and for administrative expenses of the housing guaranty program. Permits the President to continue U.S. participation in, and make contributions to, the International Fund for Agricultural Development. Authorizes appropriations for FY 1992 and 1993 for specified United Nations programs and activities. Authorizes appropriations for the U.S. contribution to the United Nations University Endowment Fund. Limits such contribution to 25 percent of the total amount contributed to the Fund by other members. Provides that if Israel is denied its right to participate in any United Nations agency, the United States shall suspend its participation in, and contributions to, any such agency until the denial of rights is reversed. Authorizes appropriations for FY 1992 and 1993 for international disaster assistance and international narcotics control activities. Expresses the sense of the Congress that under specified conventions on narcotic drugs and psychotropic substances, the parties are required to criminalize drug related activities, provide severe penalties, and cooperate in the extradition of accused offenders. Revises the authorities of the Director of the Trade and Development Agency (replaces the Trade and Development Program). Requires the Agency to disseminate information about its activities to the private sector. Sets forth the duties of the Inspector General of the administering agency with respect to the Agency. Authorizes appropriations for FY 1992 and 1993. Prohibits appointments to positions within the administering agency without the advice and consent of the Senate. Authorizes appropriations for FY 1992 and 1993 for operating expenses of the administering agency and its Office of the Inspector General. Requires the President to maintain within the administering agency a Center for University Cooperation in Development and a Center for Voluntary Cooperation in Development. Provides that the respective purposes of such Centers shall be to strengthen development partnerships between the U.S. Government and: (1) U.S. institutions of higher education engaged in education, research, and public service programs relevant to development needs of developing countries; and (2) U.S. private voluntary organizations, cooperatives, and credit unions engaged in activities relevant to such needs. Directs the administrator to establish an Advisory Committee on Voluntary Cooperation in Development. Revises provisions concerning congressional notification for program changes. Authorizes nongovernmental organizations to invest local currencies accrued as a result of economic assistance provided under the Foreign Assistance Act of 1961 and other specified Acts and to use interest earned on investments for assistance purposes. Title III: Economic Support Fund - Authorizes appropriations for FY 1992 and 1993 for economic support fund (ESF) assistance for: (1) Israel; (2) Egypt; (3) regional cooperative programs in the Middle East; (4) Cyprus (to be for scholarships, bicommunal projects, and confidence building measures to reduce tensions and promote peace between the two communities on Cyprus); (5) the International Fund for Ireland; (6) Turkey; and (7) other recipients or purposes. Permits the President to provide administration of justice assistance to the Philippines. Continues funding for specified administration of justice and law enforcement assistance through FY 1993. Authorizes the President to use ESF assistance for capital and infrastructure assistance. Applies environmental impact and assessment requirements to such assistance. Restricts the use of ESF assistance for nuclear facilities. Permits ESF assistance to be provided as a cash transfer only if the recipient country spends an amount equal to such cash transfer to purchase U.S. goods and services. Makes exemptions to such requirement under certain circumstances. Prohibits U.S. flag carriers from being reimbursed for more than 30 percent above the average competitive international rate for international ship transportation with respect to such purchases. Title IV: Military Assistance and Sales and Related Programs - Authorizes the President to furnish military assistance on a grant basis (currently, loan or grant). Permits such assistance to be provided for the financing of defense articles or services. Authorizes financing for the procurement by leasing of defense articles from U.S. commercial suppliers to be provided to Israel and Egypt if there are compelling foreign policy or national security reasons for such articles being provided by lease rather than by government-to-government sale. Permits the financing of the procurement of defense articles and services not sold by the U.S. Government only if the country or international organization proposing to make such procurement has signed an agreement with the United States specifying the conditions under which the procurement may be financed. Authorizes funds to be made available to a foreign country to make payments of principal and interest owed to the United States in connection with sales of defense articles or services. Authorizes appropriations for FY 1992 and 1993 for military assistance and sales for: (1) Israel (makes certain amounts available, at the request of the Government of Israel, for research and development in the United States and the procurement of defense articles and services in Israel); (2) Egypt; (3) Turkey; (4) Greece; and (5) other recipients or purposes. Declares that the President should consider the practice of a country with respect to the law of war when furnishing military assistance under the Foreign Assistance Act of 1961 and the Arms Export Control Act. Raises the ceiling on the amount of defense articles and services and military education and training to be drawn down under certain emergencies. Places a ceiling on the value of additions to stockpiles for FY 1992 and FY 1993. Extends the President's authority to transfer excess defense articles to countries on NATO's southern flank through FY 1993. Authorizes appropriations for FY 1992 and 1993 for: (1) international military education and training; (2) peacekeeping operations; and (3) antiterrorism assistance. Makes technical and conforming amendments to the Arms Export Control Act. Provides that charges for defense articles (other than major defense equipment) that are sold, licensed, or approved for export under such Act after FY 1991 may not include nonrecurring costs of research on or development or production of such articles. Revises a provision regarding the Guaranty Reserve Fund and redesignates the Fund as the Foreign Military Loan Liquidating Account. Raises the ceiling on the aggregate acquisition cost to the United States of excess defense articles ordered by the President. Revises requirements of a report by the President on military exports. Repeals provisions concerning information to the Congress on credit sales and guaranties and the availability of funds for procurement of defense articles and services outside the United States. Deems Australia, New Zealand, Egypt, Israel, Japan, and the Philippines to be major non-NATO allies. Prohibits funds made available by any Act from being used to facilitate the sale of M-833 antitank shells or any comparable antitank shells containing a depleted uranium penetrating component to any country other than a NATO member country or a major non-NATO ally. Sets forth U.S. policy on Middle East arms sales. Title V: Special Authorities, Restrictions and Reports - Amends the Foreign Assistance Act of 1961 to raise the ceiling on funds available for unanticipated contingencies. Authorizes a specified amount to be made available in any fiscal year (currently, FY 1986 and 1987) for emergency military assistance. Authorizes the President to adopt as a U.S. contract or obligation any contract with a U.S. or third-country contractor that had been funded with assistance prior to the termination of such assistance. Revises provisions concerning prohibitions on assistance. Requires the President to maintain a list of Communist countries for purposes of restricting assistance. Authorizes the President to remove or exempt a country from the list or prohibitions on assistance if he reports to the Congress that such removal or exemption is important to the U.S. national interest. Prohibits assistance to any country whose elected head of government is deposed by military coup. Permits the President to resume assistance to such a country if he reports to the Congress that subsequent to the coup a democratically elected government has taken office. Prohibits assistance to any country which is more than one year in arrears to the U.S. Government on loan or credit payments extended under the Foreign Assistance Act of 1961 or former authorities of the Arms Export Control Act unless the President reports to the Speaker of the House and the chairman of the Senate Foreign Relations Committee that such assistance is in the national interest. Requires the Administrator of the Agency for International Development (AID) to ensure that for every assistance project there is prominently displayed an acknowledgment that the project was funded by the people of the United States. Expresses the sense of the Congress that the President should continue to make efforts to improve the management of the foreign economic assistance program. Requires the President to study the feasibility and impact of reducing the number of countries receiving such assistance and improving coordination and management of the foreign assistance programs. Directs the AID Administrator to report to the Speaker of the House and the chairman of the Senate Foreign Relations Committee on: (1) actions taken by AID and any other proposals to improve management of such programs; and (2) the findings of the President's study. Requires the President to report to the House Foreign Affairs Committee and the Senate Foreign Relations Committee on the extent to which ESF assistance provided in excess of $10,000,000 in FY 1987 through 1991 to a country has contributed to economic reform along market economic principles in such country. Title VI: Special Assistance Initiatives and Other Region or Country Specific Provisions - Chapter 1: East Asia and the Pacific - Subchapter A: Assistance to the Philippines - Multilateral Assistance Initiative for the Philippines Act of 1991 - Expresses the sense of the Congress that: (1) the United States should continue to participate with multilateral financial institutions and other bilateral donors in an economic reform and development program in the Philippines; and (2) a multiyear commitment of resources by the United States, donors, and institutions with a continued reform effort and leadership role by the Government of the Philippines will continue to be necessary to ensure continued economic growth in the Philippines and enhanced participation of the Filipino people in the democratic process. Authorizes the President to provide assistance on such terms as determined necessary to carry out this Act. Links assistance to progress by the Government of the Philippines in implementing its economic, structural, and administrative reform program and provides that such assistance may include programs to stimulate and strengthen private sector growth, including voluntary debt reduction, greater U.S. participation in such sector, and sustained economic growth. Authorizes appropriations. Limits the amount of appropriations for FY 1992 and 1993. Expresses the sense of the Congress that: (1) coordination of programs by donors, institutions, and the Government of the Philippines is critical to the success of the Multilateral Assistance Initiative; (2) all donors should simplify procurement and disbursement procedures and ensure that conditions on the provision or use of assistance are complementary; and (3) the Philippines will ensure the most effective use of such assistance. Subchapter B: Humanitarian Assistance for Cambodian Democracy - Makes specified amounts of development and ESF assistance for FY 1992 and 1993 available for humanitarian and development assistance for civilians and civilian members of the Cambodian noncommunist resistance. Requires the President to terminate assistance to any Cambodian organization that is cooperating with the Khmer Rouge in military operations. Directs the Administrator of the administering agency to: (1) contract with a private sector employee to establish an office in Phnom Penh to oversee program activities; and (2) conduct an on-site assessment within Cambodia to determine requirements for the development of infrastructure and the eradication of explosive mines. Requires the President to report to the Speaker of the House and the President pro tempore of the Senate on all instances of military cooperation since January 1, 1991, between the Khmer Rouge and any faction of the noncommunist resistance and all instances of human rights abuses by the Khmer Rouge. Makes available an additional amount of development and ESF assistance for FY 1992 and 1993 for humanitarian assistance to children and victims of wars in Cambodia. Subchapter C: Other Provisions Relating to the Region - Permits funds authorized by this Act and funds made available in prior foreign assistance appropriations Acts for Burma (Myanmar) to be made available for training and education assistance for Burmese outside of Burma who are displaced as a result of civil conflict and for activities which support democratic pluralism in Burma. Expresses the sense of the Congress that additional assistance should be provided for Mongolia in recognition of Mongolia's movement toward democracy and a free market economy. Chapter 2: Near East and South Asia - Extends a certain waiver on a prohibition on assistance to Pakistan through FY 1994. Amends the International Security and Development Cooperation Act of 1985 to earmark development and ESF assistance for humanitarian assistance to the Afghan people and for the implementation of bilateral and multilateral reconstruction efforts for Afghanistan and the establishment of a broad-based freely-elected Afghan Government. Sets forth provisions concerning human rights abuses in Sri Lanka. Requires the President, in determining whether to provide assistance or make sales of defense articles or services to Sri Lanka during FY 1992 and 1993, to take into account whether the Government of Sri Lanka has: (1) established a public register of detainees and ensured that detainees have access to lawyers and family members; (2) taken steps to deter disappearances and killings of civilians by persons under control of government forces; (3) taken measures to minimize civilian casualties in combat operations in the north and east; and (4) made serious efforts to investigate and prosecute those involved in the murder of journalist Richard DeZoysa. Encourages the Government of Sri Lanka to provide human rights education and training. Chapter 3: Europe - Subchapter A: SEED Program Support for Transformation From Communism to Free-Market Democracy - Support for East European Democracy Act of 1991 (or SEED II Act) - Amends the Support for East European Democracy (SEED) Act of 1989 to include within the definition of "Eastern Europe" all nations of Europe which experienced Communist rule after World War II. Permits the President, where an authority in such Act is available for a bilateral activity for Poland or Hungary, to exercise such authority with respect to another Eastern European country or a constituent republic of such country if he determines that: (1) such country or republic has taken steps toward democracy and a market-oriented economy; (2) such activity would promote the institutions of democracy and a free-market economy; and (3) such activity would not sustain or fortify organizations which are inimical to the development of democracy and a free-market economy. Authorizes appropriations for FY 1992 and 1993 for assistance under SEED. Expresses the sense of the Congress with respect to establishing, and providing ESF and technical assistance for, nondiplomatic liaison offices in the Baltic states and in constituent republics of East European countries to facilitate liaison with entities aspiring to achieve democracy and free-market institutions. Supports adoption of agricultural policies in East European countries that are based on free-market policies and discourages policies that distort market signals through protective import barriers or government export subsidies. Provides for the establishment of Institutes for Agricultural Policies in Eastern Europe and the United States for the education and training of policy makers in agricultural free-market economics. Declares that 20 percent of SEED food assistance for FY 1992 and 1993 should be in the form of value added agricultural products. Applies limitations and authorities for the Enterprise Funds for Poland and Hungary to any other Enterprise Fund to which the President determines the United States should contribute. Expresses the sense of the Congress that the President should: (1) designate a director within the Department of Commerce for American business initiative in Eastern Europe to promote the development of American business opportunities in East European countries; and (2) establish American Business Centers to support American business initiatives in Eastern Europe. Andrei Sakharov Educational Exchange Act - Amends the Mutual Educational and Cultural Exchange Act of 1961 to establish the Andrei Sakharov Educational Exchange Program to further U.S.-Eastern European cooperation in the fields of environmental protection and the health sciences through the exchange of graduate students. Urges the President to use the authority provided by such Act as an integral part of the SEED program. Amends SEED to express the sense of the Congress that the President should allocate a specified amount annually for NATO's plan for expanded East European participation. Eastern European Security Assistance Act of 1991 - Makes a specified amount of administration of justice assistance under the Foreign Assistance Act of 1961 for U.S. participation in a program aimed at strengthening democratic institutions in Eastern European countries by promoting the empowerment of civilian managers in the justice, defense, and internal security establishments. Prohibits such programs from taking place with the authorities of a nonelected government or with a regime that carries out human rights violations or is negligent in the prosecution of hate crimes. Authorizes the President to: (1) include an appropriate number of students from Eastern European countries in the training offered by the National Academy of the Federal Bureau of Investigation; and (2) furnish international criminal investigative training assistance and administration of justice assistance to Eastern European countries. Urges the Director of the U.S. Information Agency to arrange for the translation into the appropriate languages of books and other materials relevant to purposes of this Act for distribution to parliaments, ministries, and institutions of higher education in Eastern Europe. Directs the Secretary of State, together with the Attorney General, to report to specified congressional committees on possible sites for the establishment of at least three legal attache posts at U.S. embassies in Eastern Europe. Treats the Regional Environmental Center for Central and Eastern Europe in Budapest, Hungary, as an international organization for purposes of detailing U.S. Government personnel. Makes a specified amount of nonconvertible Polish currencies held by the United States available for the Research Center on Jewish History and Culture of the Jagiellonian University of Krakow, Poland. Subchapter B: Baltic Humanitarian Relief - Amends the Foreign Assistance Act of 1961 to declare that the Congress recognizes that prompt U.S. assistance is desirable to help alleviate suffering in the Baltic republics. Directs the AID Administrator to: (1) furnish humanitarian assistance for the relief of the Estonian, Latvian, and Lithuanian people; and (2) solicit donations of humanitarian assistance for Estonia, Latvia, and Lithuania and cooperate with private relief agencies attempting to provide such assistance. Authorizes the Commander-in-Chief of the U.S. Transportation Command to provide all necessary airlift and sealift to transport donations of medical supplies to the Baltic peoples. Earmarks ESF assistance for such purposes. Urges the President to begin negotiations with the nations surrounding Estonia, Latvia, and Lithuania, including Poland and the U.S.S.R., regarding the importation of humanitarian assistance. Subchapter C: CSCE Assembly - CSCE Assembly Participation Act - Provides that up to 17 Members of the Congress shall be appointed to meet annually with representative parliamentary groups from other Conference on Security and Cooperation in Europe (CSCE) member nations to: (1) assess the implementation of CSCE objectives; (2) discuss subjects addressed during the meetings of the Council of Ministers for Foreign Affairs and the biennial Summit of Heads of State or Government; and (3) initiate and promote national and multilateral measures to further cooperation and security in Europe. Earmarks amounts from funds available to the Department of State for contributions to international organizations for the U.S. contribution toward the maintenance of the CSCE Assembly and for meeting the expenses of the U.S. delegation. Chapter 4: Middle East - Subchapter A: Arms Suppliers Regime - Arms Suppliers Regime Act of 1991 - Declares that the Secretary should undertake to convene a conference of appropriate nations to establish an arms suppliers regime. States that the purpose of such regime should be to: (1) halt the flow of unconventional arms and technologies necessary to produce such arms to nations in the Middle East; (2) limit and control the proliferation of advanced conventional arms to such nations; and (3) provide incentives for regional arms control agreements in the Middle East. Lists actions to be taken to carry out such purposes. Authorizes the President to negotiate and commit the United States to participating in a multilateral moratorium prohibiting the transfer of advanced conventional arms to the Middle East. Requires the President to report annually to the Senate Foreign Relations Committee and the House Foreign Affairs Committee on: (1) all transfers of arms to the Middle East over the previous five years; (2) the current military balance in the region; (3) the current and projected military threat to allied and friendly nations in the Middle East and the military equipment needed to deter and defend against such threat; (4) the operation of agreements comprising the arms suppliers regime; (5) the supplier nations that have refused to participate in such regime; and (6) specific actions of supplier nations that have engaged in conduct that violates or undermines the regime. Prohibits the sale of defense articles or services, or the issuance of export licenses for such articles or services, to any nation in the Middle East unless the President: (1) certifies that the Secretary has undertaken to convene the conference for the establishment of an arms suppliers regime; and (2) submits a specified report on such regime. Subchapter B: Miscellaneous - Declares that specified amounts of development assistance should be used to finance the Cooperative Development Program, cooperative development research projects among the United States, Israel, and developing countries, and cooperative development projects among the United States, Israel, and Eastern Europe. Prohibits assistance to Syria until the President reports to the House Foreign Affairs Committee and the Senate Foreign Relations Committee that the Government of Syria: (1) has demonstrated willingness to enter into negotiations with Israel; (2) does not deny its citizens the right to emigrate and does not impose taxes with respect to emigration; (3) is assisting the U.S. Government in obtaining the release of American hostages in Lebanon; (4) no longer supports international terrorist groups; (5) is withdrawing its armed forces from Lebanon; (6) is no longer acquiring chemical, biological, or nuclear weapons and will not use weapons currently in its arsenal to threaten its neighbors; (7) is cooperating with U.S. antinarcotics efforts and taking steps to remove members of the government who are involved in the drug trade; and (8) has made progress in improving human rights. Requires the President to report to such committees on third country transfers of weapons and military equipment to Syria. Expresses the sense of the Congress that the United States should support educational, cultural, and humanitarian activities that bring Israelis together with Palestinians living in the West Bank and Gaza. Expresses the sense of the Congress that: (1) all Arab nations which have refused to recognize Israel and have maintained a state of belligerency against Israel should recognize israel, end the state of belligerency and economic boycott against Israel, and enter into negotiations with Israel; and (2) the United States should encourage the Arab states which were allied with the United States in the Persian Gulf War to achieve such objectives. Expresses the sense of the Congress that the United States should work with its Arab coalition partners to: (1) encourage their support for efforts to achieve peace and stability in the Middle East and to settle the Arab-Israeli conflict; and (2) take specific steps with respect to Israel and terrorism. Chapter 5: Latin America and the Caribbean - Subchapter A: Provisions Pertaining to Central America and the Caribbean - Requires advance congressional notification for the transfer of helicopters or military aircraft to any country in Central America or the Caribbean. Directs the Secretary to notify the appropriate congressional committees whenever any helicopters or other military aircraft are provided to such countries by any foreign country. Prohibits military assistance under the Foreign Assistance Act of 1961 to Guatemala during FY 1992 and 1993, except in connection with a peace agreement. Establishes the Lasting Peace Fund for Guatemala. Authorizes the President to transfer amounts available for military assistance to the Fund. Makes funds available only upon notification to the appropriate congressional committees that the Guatemalan Government and the Guatemalan National Revolutionary Unit have signed a peace agreement. Permits funds to be available for: (1) costs of retraining, relocation, and reemployment in civilian pursuits of former combatants and noncombatants affected by the conflict; and (2) costs of monitoring activities associated with the peace agreement. Prohibits the authorites of the Arms Export Control Act from being used to sell to the Guatemalan Government, or issue licenses for the export to Guatemala of: (1) weapons or ammunition; or (2) aircraft, unless the aircraft are unarmed and the Guatemalan Government has agreed that they will not be armed. Permits FY 1992 and 1993 development and ESF assistance and assistance under the Agricultural Trade Development and Assistance Act of 1954 for Guatemala to be used only by civilian government agencies and nongovernmental organizations. Requires such assistance to be targeted for: (1) programs that address poverty, basic human needs, and environmental concerns; (2) the improvement of democratic institutions and the promotion of political pluralism; (3) the National Reconciliation Commission; (4) fiscal reform and administration; or (5) programs that promote trade and investment. Prohibits such assistance from being used for partisan political purposes or as an instrument of counterinsurgency. Waives assistance target requirements if the President notifies the appropriate congressional committees that Guatemala has made progress in eliminating human rights violations and in bringing to trial those responsible for major human rights cases. Prohibits foreign assistance for any member of the Nicaraguan resistance who has not disarmed or is not abiding by the terms of the cease-fire agreement and the addenda to the Toncontin Agreement. Earmarks a specified amount of FY 1992 and 1993 ESF assistance for Central America for implementing programs consistent with the purposes of the Concerted Plan of Action in Favor of Central American Refugees, Returnees and Displaced Persons. Prohibits funds authorized to be appropriated by any Act to be made available for the Sandinista Popular Army unless requested and authorized in advance by the President of Nicaragua. Subchapter B: Provisions Pertaining to the Caribbean - Congratulates Haiti on its transition to democracy. Expresses the sense of the Congress that the United States should: (1) provide assistance to the Haitian Government so long as it abides by the Haitian Constitution and respects freedom of expression and human rights; (2) continue to provide assistance to Haitian private voluntary organizations to institutionalize democracy and promote economic development; and (3) provide a specified amount of food, development, and economic assistance to Haiti during FY 1992 and 1993. Prohibits military assistance to Haiti during FY 1992 and 1993, except for nonlethal military assistance provided through a democratically-elected head of state and pursuant to specified notification procedures. Encourages the Government of the Dominican Republic to improve respect for the human rights of Haitian laborers engaged in the sugar cane harvesting industry in the Dominican Republic. Declares that the President should consider increasing the Dominican Republic's allocation of the U.S. sugar quota and providing additional economic and development assistance if the Government of the Dominican Republic makes progress in specified matters concerning such laborers. Permits assistance under the Foreign Assistance Act of 1961 or the Agricultural Trade Development and Assistance Act of 1954 to be provided to the Government of Guyana only if the President reports to the appropriate congressional committees that such government is in power as a result of free and fair elections. Exempts from such restriction international narcotics control assistance or assistance for the holding of free and fair elections. Expresses the sense of the Congress that: (1) following the submission of the report regarding Guyana, the President should provide economic assistance for Guyana under such Acts; and (2) a specified amount of assistance should be used to meet basic human needs. Subchapter C: Andean Initiative - Amends the International Narcotics Control Act of 1990 to extend the authorization of appropriations for development and ESF assistance to Andean countries through FY 1993. Requires priority in the use of funds for Bolivia and Peru to be given to support programs that focus on providing coca farmers with alternative sources of income. Earmarks a specified amount for each fiscal year (currently, FY 1991) for administration of justice assistance for Bolivia, Colombia, and Peru. Declares that a specified amount of such assistance should be made available for the Office of Human Rights in the Office of the Attorney General of the Government of Peru. Authorizes additional appropriations for FY 1992 and 1993 for military assistance to Andean countries. Applies certain limitations on FY 1991 military and law enforcement assistance to such countries to assistance for FY 1992 and 1993. Decreases the amounts of assistance to be made available for armed forces and law enforcement units in such countries. Prohibits Peru's Sinchi Police from being considered as a law enforcement unit. Extends certain conditions on assistance to such countries to assistance for FY 1992 and 1993. Exempts from such conditions assistance for programs that focus on providing coca farmers with alternative sources of income. Extends a certain waiver of a prohibition on assistance to countries in default on loans to narcotics-related assistance to Andean countries for FY 1992 and 1993. Subchapter D: South America - Congratulates the Governments of Argentina and Brazil for taking certain steps with respect to nuclear nonproliferation. Permits military assistance to Chile during FY 1992 and 1993 only if the appropriate congressional committees are notified in advance. Subchapter E: Other Provisions Pertaining to the Region - Earmarks an amount of funds made available for narcotics-related assistance for the Andean countries for efforts to deal with the cholera epidemic in Latin America. Makes law enforcement assistance available for countries with democratically-elected governments in Latin America and the Caribbean. Prohibits the use of such funds for: (1) lethal equipment; and (2) the participation of Department of Defense personnel and members of the U.S. armed forces in law enforcement training. Permits law enforcement training in the Caribbean to be provided only by the Department of Justice Criminal Investigative Training Assistance Program. Earmarks funds for such assistance. Amends the Foreign Assistance Act of 1961 to permit the delivery of military assistance and sales to the armed forces of a Latin American or Caribbean country with a civilian government only with the prior approval of the country's head of government. Subchapter F: Miscellaneous Provisions - Amends the Foreign Assistance Act of 1969 to authorize appropriations for the Inter-American Foundation for FY 1992 and 1993. Revises provisions concerning the composition of the Foundation's Board of Directors and the principal office. Declares that the Senate applauds the actions of the United Nations Human Rights Commission of March 6, 1991, (concerning human rights in Cuba) and calls on the Government of Cuba to cooperate fully with the Commission. Chapter 6: Africa - Amends the Foreign Assistance Act of 1961 to authorize appropriations for FY 1992 and 1993 for the Development Fund for Africa. Expresses the sense of the Congress that a certain amount of funds should be made available to support sector projects supported by the Southern African Development Coordination Conference. Amends the International Security and Development Cooperation Act of 1980 to authorize appropriations for FY 1992 and 1993 for the African Development Foundation. Permits assistance to Sudan during FY 1992 and 1993 only if the President reports to the Congress that the Government of Sudan has: (1) taken actions to begin a process of national reconciliation; and (2) demonstrated a commitment to hold free and fair elections monitored by international observers. Permits military and ESF assistance to Kenya during FY 1992 and 1993 only if the President reports to the Congress that the Government of Kenya has taken steps to: (1) release political detainees and end the prosecution of individuals for the expression of their political beliefs; (2) cease mistreatment of political prisoners; and (3) restore judicial independence and freedom of expression. Authorizes military and ESF assistance and international military education and training for Zaire during FY 1992 and 1993 only if the President reports to the Congress that: (1) a neutral, transitional government has been formed to oversee the drafting of a new constitution for Zaire; (2) free and fair elections are held in Zaire; and (3) the elected government demonstrates a commitment to bring about freedom of expression, a reformed and independent judiciary, and reform of the security forces. Prohibits development assistance to Zaire, except as provided through nongovernmental organizations. Expresses the sense of the Senate that the President should continue to support the peacekeeping efforts in Liberia carried out by the Economic Community of West Africa Monitoring Group. Amends the Foreign Assistance Act of 1961 to authorize the President to provide assistance for civil strife relief, rehabilitation, and general recovery in Liberia. Permits assistance to Liberia during FY 1992 and 1993 only if the President reports to the Congress that the Government of Liberia has achieved progress toward reconciliation and free and fair elections monitored by international observers. Provides that such restriction shall not apply to humanitarian assistance. Authorizes the President to furnish assistance for strengthening judicial institutions in African countries. Expresses the sense of the Senate that a study should be undertaken by the Office of Technology Assessment, in a cross-section of Subsaharan African countries, of the formulation and the economic, social, and environmental impact of adjustment programs supported or leveraged by AID through the Development Fund for Africa. Title VII: Enterprise for the Americas Initiative - Enterprise for the Americas Act of 1991 - Chapter 1: Statement of Findings and Purpose - Sets forth findings and purposes with respect to the Enterprise for the Americas Initiative. Chapter 2: Programs to Facilitate Investment Flows - Requires the Secretary of the Treasury to work with the Inter-American Development Bank to ensure the implementation of the Bank's investment sector reform program and the coordination of U.S. bilateral assistance programs with multilateral efforts to enhance liberalization efforts in Latin America and the Caribbean. Authorizes the Secretary, subject to certain conditions, to make a payment to the Enterprise for the Americas Fund. Requires U.S. assistance to the Fund to be disbursed only for technical assistance for resolving domestic constraints to investment, human capital programs, and assistance to private enterprises. Chapter 3: Eligibility Requirements for Benefits - Makes eligible for participation in activities under this Act any Latin American or Caribbean country that: (1) has in effect, or is making progress toward, policies designed to liberalize its investment regime and to undertake economic reforms in conjunction with specified multilateral financial institutions; and (2) qualifies for assistance under the Foreign Assistance Act of 1961 (waives prohibitions on assistance to countries in default on loans to the United States). Chapter 4: Enterprise for the Americas Facility - Establishes the Enterprise for the Americas Facility in the Department of the Treasury. Declares that the purpose of the Facility is to serve as the coordinating mechanism within the U.S. Government to carry out provisions of this Act related to debt reductions, sales, and cancellations of loans or assets for eligible countries. Chapter 5: Debt Reduction - Authorizes the President to reduce the amount owed to the United States (as a result of concessional loans made pursuant to the Foreign Assistance Act of 1961 or predecessor foreign economic assistance legislation) by any eligible country. Deems debt reductions to be assistance for purposes of provisions of law limiting assistance to a country (waives restrictions on assistance to countries in default on loans to the United States). Sets forth requirements with respect to the exchange of obligations, repayment of principal, and interest on new obligations issued by eligible countries. Encourages the President to consider undertaking the full liquidation of outstanding obligations to the United States for an eligible country if such liquidation will assist in significant progress toward economic reform. Chapter 6: Enterprise for the Americas Accounts - Requires eligible countries that enter into Enterprise for the Americas Agreements to establish Enterprise for the Americas Accounts. Authorizes the President to enter into Enterprise for the Americas Agreements with eligible countries concerning the operation and use of Americas Accounts. Sets forth required contents of such Agreements. Permits grants from an Americas Account to be used only for funding activities that: (1) support local nongovernmental organizations in child health programs; (2) link the conservation and sustainable use of natural resources with local community development; (3) support community-based primary and secondary education programs; and (4) support alternative development programs that seek to reduce dependence on the production of crops from which narcotic and psychotropic drugs are derived. Lists eligible grant recipients. Declares that: (1) the President should encourage other official creditors of eligible countries whose debt is reduced to provide comparable debt reduction to such countries; and (2) the Secretary should encourage private creditors of eligible countries to explore mechanisms for reducing outstanding debts to levels that more accurately reflect the market value of such debts. Chapter 7: Sales, Reductions, or Cancellations of Loans or Assets - Authorizes the President to: (1) sell to any eligible purchaser any loan of an eligible country made pursuant to the Export-Import Bank Act of 1945; (2) sell to any eligible purchaser any asset acquired by the Commodity Credit Corporation in connection with export sales to an eligible country or specified export credit guarantee programs; and (3) reduce or cancel any loans or assets made or acquired before 1991 upon receipt of payment from an eligible purchaser. Permits loans or assets to be sold only to purchasers who present plans to AID for using such loans or assets to engage in debt-for-child survival, debt-for-education, debt-for-equity, debt-for-development, or debt-for-nature swaps. Authorizes loans or assets to be sold, reduced, or canceled only for purposes of facilitating such swaps. Chapter 8: International University for the Americas - Requires the Secretary of State to determine the most appropriate location for the International University for the Americas, an institution to be established for promoting economic integration and the strengthening of democratic institutions in the Western Hemisphere and for commemorating the 500th anniversary of the discovery of the Americas by Christopher Columbis. Authorizes appropriations. Chapter 9: Reports - Sets forth annual reporting requirements with respect to this Act. Title VIII: Repeal of Obsolete Provisions - Repeals provisions of specified Acts. Title IX: Multilateral Development Banks - Chapter 1: International Monetary Fund - Amends the Bretton Woods Agreements Act to authorize the U.S. Governor of the International Monetary Fund to consent to: (1) an increase in the U.S. quota in the Fund; and (2) the amendments to the Articles of Agreement of the Fund approved in resolution 45-3 of the Fund's Board of Governors. Authorizes the Secretary of the Treasury to instruct the U.S. Executive Director of the Fund to approve the Fund's pledge to sell a specified amount of the Fund's gold to restore the resources of the Reserve Account of the Enhanced Structural Adjustment Facility Trust to meet obligations to lenders who have made loans to the Trust for financing programs of members previously in arrears to the Fund. Chapter 2: African Development Fund - Amends the African Development Fund Act to authorize the U.S. Governor of the African Development Fund to contribute a specified amount to the sixth replenishment of the Fund. Authorizes appropriations. Chapter 3: Asian Development Bank - Amends the Asian Development Bank Act to authorize the U.S. Governor of the Asian Development Bank to subscribe to additional shares of the Bank's capital stock. Authorizes appropriations. Title X: Presidential Contingency Fund - Authorizes appropriations to the President for FY 1992 and 1993 for unanticipated contingencies in programs within the International Affairs Budget Function. Title XI: Peace Corps - Amends the Peace Corps Act to: (1) extend authorizations of appropriations for the Peace Corps for FY 1992; (2) establish the Foreign Currency Fluctuations, Peace Corps, Account to pay expenses for Peace Corps operations which exceed appropriations for such expenses as a result of currency exchange rate fluctuations. Authorizes appropriations for such Account. Requires the Director of the Peace Corps to contract with an eligible organization to conduct three evaluations of the health care needs of Peace Corps volunteers and the adequacy of the Peace Corps health care system. Provides for the submission of such evaluations to the Director and the Senate Foreign Relations Committee and the House Foreign Affairs Committee. Requires the Director and the Secretary of Labor to report to such committees on: (1) the information provided by the Peace Corps to its volunteers and applicants on the benefits and services to which volunteers or trainees may be entitled in the event they sustain injuries or become disabled during their Peace Corps service or training; (2) the efforts by the Peace Corps and the Department of Labor to coordinate the provision of such information to Peace Corps volunteers and applicants and the processing of claims by volunteers under the Federal Employees Compensation Act (FECA); (3) the number of Peace Corps volunteers and applicants who have filed claims under FECA and the percentage of claims that have been approved; and (4) the timeliness of approvals or denials of such claims. Encourages the Director to continue to develop, assist, and implement education-related programs which enable volunteers to share their volunteer experiences with primary and secondary school students and communities in the United States. Title XII: Effective Date - Provides that this Act shall take effect on October 1, 1991.
Bill· SS. 1424 (102nd)open
United States · United States Congress · 28 June 1991
Directs the Secretary of Veterans Affairs, during the five-year period beginning on October 1, 1991, to conduct a rural mobile health care clinic program in States in which significant numbers of veterans reside in rural areas. Makes eligible for such mobile health care veterans otherwise eligible for veterans' health care who reside at least 100 miles from the nearest Department of Veterans Affairs health-care facility. Requires the Secretary to begin operation of at least three mobile health care clinics in each fiscal year of the program. Requires the Secretary to report to the Congress an evaluation of the program. Authorizes appropriations for FY 1992 through 1996.
Bill· SS. 1419 (102nd)referred
United States · United States Congress · 28 June 1991
Amends the Internal Revenue Code to allow an itemized deduction for personal interest paid on an education loan by a health care professional (medical doctor, registered nurse, nurse-practitioner, or physician's assistant) performing services in a rural community or on certain Indian reservations for at least 24 consecutive months under a written agreement. Limits such deduction to $5,000. Allows the computation of such deduction in determining adjusted gross income.
Bill· SJRESS.J.Res. 173 (102nd)referred
United States · United States Congress · 28 June 1991
Designates 1991 as the 25th Anniversary Year of the Formation of the President's Committee on Mental Retardation.
Bill· SS. 1410 (102nd)open
United States · United States Congress · 27 June 1991
Telephone Advertising Consumer Rights Act - Amends the Communications Act of 1934 to prohibit any person within the United States from: (1) making any telephone solicitation in violation of regulations prescribed by the Federal Communications Commission (FCC) pursuant to this Act; (2) using any telephone facsimile (fax) machine or automatic telephone dialing system that does not comply with prescribed technical and procedural standards, or in a manner that does not comply with such standards, to make any telephone solicitation; (3) using any fax machine, computer, or other device to send an unsolicited advertisement in violation of any such regulations; (4) using any automatic telephone dialing system to make unsolicited calls to an emergency telephone line or pager of any hospital, medical physician or service office, health care facility, or fire protection or law enforcement agency, to any telephone number assigned to paging, specialized mobile radio, or cellular telephone service; or (5) using a computer or other electronic device to send an unsolicited advertisement via a fax machine unless such person clearly marks the date and time it is sent, an identification of the business sending the advertisement, and the telephone number of the sending machine or business. Directs the FCC to initiate a rulemaking proceeding concerning the need to protect residential telephone subscribers' privacy rights and to compare and evaluate alternative methods and procedures for protecting such rights. Requires the FCC to implement the most cost-effective methods and procedures for protecting such rights, which may entail establishing and operating a single national data base to compile and make available for purchase a list of the telephone numbers of such subscribers who object to receiving telephone solicitations. Directs the FCC to: (1) revise the regulations setting technical and procedural standards for fax machines to require that any fax machine manufactured after six months after the enactment of this Act clearly marks the date and time sent, an identification of the business or other entity sending the advertisement, and the telephone number of the sending machine or business. (Exempts for 12 months fax machines that do not have the capacity for automatic dialing and transmission and that are not capable of operation through an interface with a computer.) Requires the FCC to prescribe standards for automatic telephone dialing systems used to transmit any prerecorded telephone solicitation, including the requirements that: (1) all prerecorded telephone messages clearly state the identity and telephone number or address of the business or other entity initiating the call; and (2) such systems will, as soon as is technically practicable after the called party hangs up, automatically create a disconnect signal or on-hook condition which allows the called party's line to be released. Requires the FCC to prescribe rules to restrict the use of any fax machine, computer, or other electronic device to send any unsolicited advertisement to the fax machine of any person.
Bill· SS. 1414 (102nd)referred
United States · United States Congress · 27 June 1991
Income Dependent Educational Assistance Loan Act - Amends the Higher Education Act of 1965 (HEA) to add a new title XVI, Income Dependent Educational Assistance Loans (IDEAL). Directs the Assistant Secretary for Postsecondary Education (the Assistant Secretary) to carry out a demonstration program of making IDEAL loans to students in ten congressional districts. Sets forth provisions for program requirements and institutional agreements. Limits the annual amount of such a loan not more than $10,000 or the cost of attendance at the eligible institution, whichever is less. Limits individual borrowing capacity to prohibit receipt of any amount in an additional loan which exceeds the excess of $40,000 over the total original principal amounts of all prior such loans to such individual, less any refunds to the individuals's account. Provides for adjustment of such annual and aggregate limits for inflation. Counts any loan obligations under title IV of HEA or title VII of the Public Health Service Act toward annual and aggregate borrowing capacity limits under the IDEAL program, and vice versa. Adjusts such annual limits for less than full-time students. Sets forth provisions for: (1) terms of such loans, including income-dependent repayment provisions; and (2) disbursement of proceeds of such loans. Establishes the Income Dependent Educational Assistance Loan Trust Fund (the Trust Fund) in the Treasury, consisting of: (1) amounts transferred by the Secretary of the Treasury equivalent to IDEAL loan repayment levies received under the Internal Revenue Code, as amended by this Act; (2) specified amounts authorized to be appropriated under HEA, as amended by this Act; and (3) any interest earned on investment of certain amounts in the Trust Fund by the Assistant Secretary. Directs the Assistant Secretary to: (1) hold the Trust Fund; and (2) report annually to the Congress on the Trust Fund's financial condition and operations results during the preceding fiscal year and its expected condition and operations during the next fiscal year. Sets forth repayment provisions. Directs the Assistant Secretary to develop a procedure for computing a repayment percentage for each borrower using specified cohort repayment factors. Requires the following factors to be considered in determining such percentage: (1) total amount of IDEAL loans to the borrower; (2) borrower's age; (3) year in which such a loan was awarded; (4) such percentage to only apply to the first $50,000 of an individual's wages and self-employment income, determined without regard to any dollar limitation contained in specified Internal Revenue Code provisions; (5) such percentage to be adjusted over time for average coverage and self-employment income growth; (6) a specified buyout procedure; (7) maximum repayment period not exceeding 25 years; (8) no borrower required to make repayments beyond age 65; and (9) whether the Trust Fund is intended to earn an overall interest rate, on all loans made in any academic year, equal to the average interest rate on U.S. obligations issued in such year, plus an administrative expense premium of not more than 0.25 percent. Directs the Assistant Secretary to develop a buyout procedure under which the borrower may repay, at any time, the total amount of IDEAL loans borrowed, including a prepayment premium to discourage borrowers from using such buyout procedure. Provides for a certification procedure under which the Assistant Secretary is to: (1) calculate the repayment percentage for each borrower determined to be in repayment status; and (2) transmit such information, along with the borrower's taxpayer identification number, to the borrower and the Secretary of the Treasury by January 1 of each year. Makes eligible for the IDEAL loan program any student who is a U.S. citizen and who is between 17 and 56 year old. Authorizes appropriations to the Equity Investment in America Trust Fund to carry out the IDEAL program. Amends the Internal Revenue Code to add provisions for an educational loan repayment levy. Imposes such repayment levy equal to the repayment percentage of an individual's qualified earnings for the taxable year not exceeding $50,000, in the case of any individual receiving a certification from the Assistant Secretary under the IDEAL program. (Defines qualified earnings as wages and self-employment income, determined without regard to any dollar limitation contained in special provisions.)
Bill· SS. 1406 (102nd)referred
United States · United States Congress · 27 June 1991
Chemical Control and Environmental Responsibility Act of 1991 - Amends the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Act) to: (1) replace references to "listed precursor chemicals" with "list I chemicals" and "listed essential chemicals" with "list II chemicals"; and (2) revise the definition of "regulated person" to include individuals who act as brokers or traders for international transactions involving a listed chemical, tableting machine, or encapsulating machine. Redefines "regulated transaction" to: (1) include international transactions which do not involve the importation or exportation of a listed chemical into or out of the United States if a broker or trader located in the United States participates in the transaction; (2) include, in the case of a listed chemical that is contained in a drug that may be marketed or distributed lawfully in the United States under the Federal Food, Drug, and Cosmetic Act, transactions involving ephedrine or any other listed chemical which the Attorney General may designate as not subject to exemption after finding that such action would prevent diversion and the total quantity of such chemical included in the transaction equals or exceeds the threshold established for that chemical by the Attorney General; and (3) exclude any transaction in a chemical mixture (current law) which the Attorney General has designated as exempt based on a finding that the mixture is formulated in such a way that it cannot be easily used in the illicit production of a controlled substance and that the listed chemical or chemicals contained in the mixture cannot be readily recovered. Requires every person who manufactures or distributes, or who proposes to engage in the manufacture or distribution of, a list I chemical to obtain annually a registration issued by the Attorney General. Authorizes and directs the Attorney General to register an applicant to distribute a list I chemical unless he determines that the issuance of such registration is inconsistent with the public interest, taking into consideration the following factors: (1) maintenance of effective controls against diversion of listed chemicals into other than legitimate channels; (2) compliance with applicable Federal, State, and local law; (3) prior conviction record of the applicant under Federal or State laws relating to controlled substances or chemicals; (4) past experience in the manufacture and distribution of chemicals; and (5) such other factors as may be relevant to and consistent with the public health and safety. Makes provisions with respect to the denial, revocation, and suspension of registration relating to the manufacture, distribution, or dispensation of controlled substances explicitly applicable to list I chemicals. Directs the Attorney General to register an applicant to import or export a list I chemical unless he determines that the issuance of such registration is inconsistent with the public interest. Makes it unlawful for a regulated person to distribute, import, or export a list I chemical without the registration required under the Comprehensive Act. Requires each regulated person who manufactures a listed chemical to report annually to the Attorney General information concerning listed chemicals manufactured by such regulated person. Makes any person located in the United States who is a broker or trader for an international transaction in a listed chemical which is a regulated transaction solely because of that person's involvement as a broker or trader, with respect to that transaction, subject to all of the notification, reporting, record-keeping, and other requirements placed upon exporters of listed chemicals by the Comprehensive Act. Authorizes the Attorney General to: (1) require that the 15-day advance notice requirement with respect to the importation and exportation of listed chemicals apply to all exports of specific listed chemicals to specified nations, regardless of the status of certain customers in such country as "regular customers," if such action is necessary to support effective diversion control programs or is required by treaty or other international agreement to which the United States is a party; and (2) waive the 15-day advance notice requirement for exports of specific listed chemicals to specified countries, and for the importation of specific listed chemicals, if such advance notice is not required for effective chemical control, subject to specified requirements. Establishes penalties for: (1) exporting, or serving as a broker or trader for an international transaction involving, a listed chemical knowing or having reasonable cause to believe that the chemical will be used to manufacture a controlled substance in violation of the laws of the country to which the chemical is exported; and (2) importing or exporting a listed chemical with intent to evade reporting or record-keeping requirements under the Comprehensive Act by falsely representing to the Attorney General that the importation or exportation qualifies for a waiver of the advance notice requirement by misrepresenting either the actual country of final destination of the listed chemical, the actual listed chemical being imported or exported, or both. Amends list I to add benzaldehyde and nitroethane, and delete D-lysergic acid, N-ethylephedrine, and N-ethylpseudoephedrine. Eliminates "regular supplier" status and creates "regular importer" status. Modifies the definition of "controlled premises" to include places where listed chemicals or records relating to the manufacture, distribution, or disposition of listed chemicals are maintained. Makes it a felony for a person who possesses a listed chemical with intent that it be used in the illegal manufacture of a controlled substance to manage the listed chemical or waste from the manufacture of a controlled substance other than as required under the Solid Waste Disposal Act. Specifies that, in addition to a penalty that may be imposed for the illegal manufacture, possession, or distribution of a listed chemical or toxic residue of a clandestine laboratory, a person who violates such prohibition shall be assessed costs of the initial cleanup and disposal of the listed chemical and contaminated property and the cost of restoring property damaged by exposure to such chemical. Expresses the sense of the Congress that guidelines issued by the U.S. Sentencing Commission should recommend that the term of imprisonment for such a violation be not less than five (or in the case of a willful violation, not less than ten) years. Authorizes: (1) the court to order that all or a portion of the earnings from work performed by a defendant in prison be withheld for payment of such costs; and (2) the Attorney General to direct that assets forfeited in connection with a prosecution under this Act be shared with State agencies that participated in the seizure or cleanup of the contaminated site. Specifies that a discharge in bankruptcy does not discharge an individual debtor from any debt for costs assessed with respect to the management of listed chemicals under the Comprehensive Act. Provides for access by the Attorney General to information in the National Practitioner Data Bank.
Bill· SS. 1401 (102nd)referred
United States · United States Congress · 27 June 1991
Amends the Internal Revenue Code to allow an itemized deduction for personal interest paid on an education loan by a health care professional (medical doctor, registered nurse, nurse-practitioner, or physician's assistant) performing services in a rural community or on certain Indian reservations for at least 24 consecutive months under a written agreement. Limits such deduction to $5,000. Allows the computation of such deduction in determining adjusted gross income.
Bill· HRH.R. 2824 (102nd)open
United States · United States Congress · 27 June 1991
Directs the Secretary of Veterans Affairs to conduct ten demonstration projects to examine the feasibility of broader use of arrangements for the sharing of health-care resources with other Federal health-care providers. Requires the Secretary to enter into agreements for such demonstration projects with the Secretaries of Defense and Health and Human Services with respect to facilities, providers, and beneficiaries of health care. Requires each demonstration project to be carried out through a sharing agreement between the Secretary and one of the other named Secretaries with respect to care and services provided by a particular Department of Veterans Affairs medical facility. Requires medical centers selected for the demonstration projects to be located in rural and urban areas in different regions of the country. Provides for the reciprocal provision of health-care services by medical centers participating in the project, as well as for reciprocal reimbursement for services provided. Directs the Secretary to evaluate the demonstration projects on an ongoing basis and to submit two annual reports on such evaluation to the Congress. Authorizes appropriations.
Bill· HRH.R. 2810 (102nd)referred
United States · United States Congress · 27 June 1991
Drug Treatment and Prevention Act of 1991 - Amends the Public Health Service Act (PHSA) to direct the Secretary of Health and Human Services to: (1) establish a capacity expansion program that will provide grants to assist States to expand their capacity to provide effective and comprehensive treatment to individuals who use illegal drugs; and (2) award such grants to States in which a demand for drug treatment services exceeds the capacity of organizations operating in those States to provide such services. Sets forth application procedures, Federal funding limitations, and other requirements with respect to such program. Specifies that funds provided under this Act for such program shall supplement, not supplant, existing or planned drug treatment services in a State and shall be available only for the provision of direct treatment services. Authorizes appropriations. Amends the Drug-Free Schools and Communities Act of 1986 to revise provisions with respect to emergency grants to authorize the Secretary to make drug-free schools emergency target grants to eligible local educational agencies (LEAs) and consortia of LEAs (currently, limited to LEAs) that: (1) demonstrate significant need for additional assistance for purposes of reducing and preventing drug and alcohol use and drug-related crime among students served by such agencies (currently, to combat drug and alcohol use among such students); (2) support projects that require cooperative linkages between schools and communities to reduce and prevent drug and alcohol use among schoolchildren; (3) demonstrate the most effective approaches to reducing and preventing drug and alcohol use among schoolchildren; and (4) promote the goal that every school in America will be free of drugs and violence and will offer a discipined environment conducive to learning. Specifies: (1) authorized activities by LEAs with grant funds; and (2) eligibility and application requirements for such grants by LEAs and consortia of LEAs. Directs the Secretary, in awarding grants, to give special preference to applications that: (1) hold particular promise for reducing and preventing the incidence of drug and alcohol use and drug-related violence in elementary and secondary schools; (2) are based on a rigorous and comprehensive research design; and (3) have demonstrated that they will integrate the resources of families, community groups, and the media into an effective, community-based assault on drug and alcohol use in schools. Requires the Secretary to conduct an evaluation of this program. Sets forth provisions with respect to: (1) grant amounts and distribution of funds; and (2) set-asides from appropriations to conduct such evaluation, provide training and technical assistance to LEAs, and disseminate the results of the program. Authorizes approriations. Requires a local or intermediate educational agency or consortium to include in any application to the State educational agency for a drug and alcohol abuse prevention grant a statement of how any emergency target grants funded by the Government under this Act are integrated into the overall prevention plan set forth in the application. Amends the PHSA to require a State, in order to receive specified Federal funds, to develop, implement, and submit for approval a statewide drug treatment and prevention plan, which shall designate a single State agency for developing and implementing the plan. Sets forth plan and reporting requirements. Requires States to maintain expenditures for drug-related services at a level equal to not less than the average amount of such expenditures for the preceding two years to qualify for grants, subject to waiver by the Secretary under specified circumstances.
Bill· HRH.R. 2827 (102nd)referred
United States · United States Congress · 27 June 1991
Precursor Chemicals Control Act of 1991 - Amends the Controlled Substances Act to: (1) authorize the Attorney General to provide for the registration of handlers of listed precursor chemicals; and (2) establish penalties for violation of such registration requirement. Eliminates the exemption from regulatory provisions with respect to listed chemicals for any transaction in such a chemical that is contained in a drug that may be marketed or distributed lawfully in the United States under the Federal Food, Drug, and Cosmetic Act.
Bill· SS. 1377 (102nd)open
United States · United States Congress · 26 June 1991
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to enter into agreements with health professionals for the professionals to conduct, as employees of the National Institutes of Health (NIH), biomedical or clinical research in areas of need identified by the NIH Director in consideration of the Federal Government repaying up to a specified amount of the educational loans of the professionals. Authorizes appropriations.
Bill· SS. 1380 (102nd)open
United States · United States Congress · 26 June 1991
Families in Need Act of 1991 - Title I: Housing - Amends the United States Housing Act of 1937 to increase and extend the authorization for increases in budget authority for assistance under specified provisions relating to rental certificates and other existing housing programs. Amends the Stewart B. McKinney Homeless Assistance Act to allow the provision of technical assistance and modify set-asides relating to homeless pregnant and postpartum women. Allows, in certain circumstances, reduction of matching funds requirements relating to acquisition and/or rehabilitation of an existing structure for supportive housing. Mandates a program to provide supportive services to such women, including room and board, prenatal care, substance abuse treatment, various counseling and education, and transportation to other facilities. Authorizes appropriations. Amends the Family Violence Prevention and Services Act to include in the emphases States will give in the distribution of State demonstration grant funds that of: (1) medical referrals; and (2) projects serving pregnant women and women with dependent children. Authorizes appropriations to carry out the Act. Title II: Access to Health Care, Childhood Immunizations, Program Simplification and Outreach for Women and Infants - Amends provisions of the Public Health Service Act relating to migrant and community health centers and health services for the homeless to mandate the use of certain funds to expand existing comprehensive perinatal care programs. Requires that migrant and community health centers and entities providing health services for the homeless be permitted to participate in a specified bulk vaccine purchasing program. Adds references to obstetric provider shortage areas and pediatric provider shortage areas to provisions relating to health professional shortage areas. Authorizes assistance to eligible National Health Service Corps members in paying the costs of certain malpractice insurance. Authorizes appropriations. Authorizes grants to States for the establishment of State programs to award compensation to eligible individuals providing obstetric services to assist in paying malpractice insurance costs. Authorizes appropriations. Authorizes the Domestic Volunteer Service Act of 1973 to mandate an expansion of volunteer outreach targeted at communities with high concentrations of pregnant women who receive inadequate prenatal care. Authorizes appropriations. Amends the Public Health Service Act to authorize grants for satellite health centers or mobile clinics to expand the availability of obstetric and primary care in health professional shortage areas, medically underserved areas, obstetric professional shortage areas, or pediatric professional shortage areas. Authorizes appropriations. Authorizes grants to States for the establishment of Statewide computerized Federal and State program eligibility programs which would: (1) permit access to recipient- or applicant-specific information on all Federal and State programs and to submit applications on-line for Federal programs; and (2) provide for the processing of electronic claims for reimbursement to health care providers under programs administered by the State. Authorizes appropriations. Mandates establishment of a National Infant Health Public Information Campaign. Requires the Centers for Disease Control to: (1) coordinate nationwide birth defects surveillance, prevention, epidemiology, and other activities; and (2) serve as the national clearinghouse for data generated from birth defects monitoring programs. Authorizes grants and cooperative agreements, with regard to birth defects, for monitoring programs, epidemiological research, prevention demonstration projects, and public information and education. Directs the Secretary of Health and Human Services to: (1) develop, evaluate, and implement birth defects prevention strategies; and (2) convene an annual birth defects conference. Authorizes appropriations. Title III: Nutrition - Amends the Child Nutrition Act of 1966 to authorize appropriations to carry out the special supplemental food program for women, infants, and children (WIC Program).
Bill· SS. 1383 (102nd)referred
United States · United States Congress · 26 June 1991
Military Disabled Retiree Protection Act of 1991 - Allows payments under the Civilian Health and Medical Program of the Uniformed Services for certain health care expenses incurred by members and former members of the uniformed services (and their dependents) who are entitled to retired or retainer pay and who are otherwise ineligible for such payments by reason of their entitlement to hospital insurance and supplementary medical insurance benefits under title XVIII (Medicare) of the Social Security Act because of a disability.
Bill· HRH.R. 2780 (102nd)referred
United States · United States Congress · 26 June 1991
Title I: Amendments To The Older Americans Act of 1965 - National Older Americans Advocacy and Protection Amendments of 1991 - Amends the Older Americans Act of 1965 to establish in the Administration on Aging (Administration) an Office on Long-Term Care Ombudsman Programs headed by an Associate Commissioner For Ombudsman Services who shall serve as the Federal advocate on behalf of older individuals who reside in long-term care facilities. Requires the Administration to establish and operate the National Ombudsman Resource Center to assist State Long-Term Care Ombudsmen and to carry out State long-term care ombudsman programs. Extends the deadline for the annual Administration report to the Congress on complaints and conditions in long-term care facilities. Requires a Commission study of the effectiveness of State long-term care ombudsman programs. Provides for greater accountability in the State and local long-term care ombudsman programs. Requires long-term care ombudsmen to have immediate access to residents of long-term care facilities. Expands the authority of long-term care ombudsmen to include representing such residents' interests before governmental agencies and seeking administrative, legal, and other actions to protect the rights and well-being of such residents. Requires long-term care ombudsman programs to: (1) inform such residents about ombudsman services; and (2) ensure that such residents have regular and timely access to such services and receive timely responses to requests for such services. Defines "conflict of interest" for purposes of such Act as: (1) a direct involvement in the licensing or certification of a long-term care facility or of a provider of a long-term care service; (2) an ownership or investment interest in the operation of a long-term care facility; (3) employment by, or participation in the management of, a long-term care facility; or (4) the receipt, or right to receive, directly or indirectly, remuneration under a compensation arrangement with an owner or operator of a long-term care facility. Requires States to establish, and specify in writing, mechanisms to identify and remove conflicts of interest. Title II: Elder Abuse - Prevention, Identification, and Treatment of Elder Abuse Act of 1991 - Directs the Secretary of Health and Human Services to establish an office known as the National Center on Elder Abuse to: (1) compile an annual summary of recently conducted research on elder abuse; (2) develop and maintain an information clearinghouse on all programs for the prevention and treatment of such abuse; (3) compile training materials for personnel engaged in elder abuse prevention; (4) provide technical assistance for the planning and implementation of programs relating to the problems of elder abuse; and (5) investigate the causes and national incidence of elder abuse. Authorizes the Secretary to make grants to, or enter into contracts with, public agencies or nonprofit organizations for demonstration projects designed to prevent and treat elder abuse. Sets forth the terms and conditions for such grants. Authorizes the Secretary to make grants to States for the development and implementation of elder abuse prevention and treatment programs. Requires such States to have in effect a State elder abuse laws. Sets forth other requirements for eligibility. Prohibits the use of assistance for construction of facilities. Directs the Secretary to establish criteria to achieve equitable distribution of assistance among the States. Authorizes appropriations. Title III: Board and Care Facility Quality - National Commission on Board and Care Facility Quality Act of 1991 - Directs the Secretary of Health and Human Services to arrange for the establishment of a National Commission on Board and Care Facility Quality to: (1) examine existing quality, health, and safety requirements for board and care facilities and the enforcement of such requirements for their adequacy and effectiveness; (2) examine and make recommendations with respect to the appropriate role of Federal, State, and local governments in assuring the health and safety of residents of board and care facilities; and (3) make specific recommendations to the Congress and the Secretary concerning the establishment of minimum national standards for the health and safety of residents of such facilities and the enforcement of such standards. Title IV: Effective Dates - Sets forth the effective dates of this Act.
Bill· HRH.R. 2786 (102nd)referred
United States · United States Congress · 26 June 1991
Prohibits Federal law from being construed as restricting a medical professional from advising a patient concerning abortion.
Bill· HRH.R. 2800 (102nd)referred
United States · United States Congress · 26 June 1991
Hospital Indigent Care Assistance Act of 1991 - Title I: Amendments of Internal Revenue Code of 1986 - Amends the Internal Revenue Code to impose on employers an excise tax equal to one percent of the amounts paid by an employer to provide employee medical benefits. Subjects self-employed individuals to a corresponding tax based on the amount allowed as a tax deduction for health insurance costs. Establishes in the Treasury the Hospital Indigent Care Assistance Trust Fund to receive amounts generated by the excise tax. Makes Fund moneys available solely for Medicare program expenditures. Title II: Assistance to Hospitals Providing Indigent Care - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to make payments from the Fund to eligible applicant hospitals to cover a specified percentage of their uncompensated care costs, determined in accordance with this Act. Describes eligibility criteria, including a requirement that the Medicare allowable costs of providing patient care services exceed the hospital's patient revenues for the pertinent cost reporting period. Directs the Prospective Payment Assessment Commission to conduct a study of the impact of uncompensated health care on the financial status of hospitals and to report to the Congress on such study.
Bill· HRH.R. 2788 (102nd)referred
United States · United States Congress · 26 June 1991
Kimberly Bergalis Patient and Health Provider Protection Act of 1991 - Title I: Amendments to Public Health Services Act Regarding Certain Communicable Diseases Among Health Care Providers and Patients - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a list of medical and dental procedures that health care providers with communicable diseases should be prohibited from performing because the performance would pose a risk of transmission of the disease from the provider to the patient. Prohibits a grant to a State under existing provisions for early intervention with respect to HIV disease unless the State: (1) requires testing of providers; and (2) prohibits performance, except with informed consent, of the procedure by infected providers. Requires infected providers to inform patients who may have been exposed and offer to provide counseling and testing. Requires the State to provide counseling to providers on the effects of the prohibition of performing listed procedures. Requires HIV disease and hepatitis B to be included on the list of communicable diseases. Requires inclusion on the list of procedures those procedures which pose a risk of transmission of communicable diseases from patient to provider. Prohibits HIV early intervention grants to a State unless the State authorizes providers to test the patient, without consent, for communicable diseases the provider has a reasonable basis to believe the patient has. Applies the requirements of this title to provisions relating to grants for health care and support services for individuals and families with HIV disease. Title II: General Provisions - Sets forth the effective date of the amendments made by this Act.
Bill· HRH.R. 2803 (102nd)open
United States · United States Congress · 26 June 1991
Community Mental Health Services Improvement Act of 1991 - Title I: Community Mental Health Services Block Grant - Amends title XIX (Block Grants) of the Public Health Service Act to replace provisions relating to State comprehensive mental health services plans with provisions directing the Secretary of Health and Human Services, through the Director of the National Institute of Mental Health, to make a grant to each State each year for providing, through community mental health centers, comprehensive community mental health services to adults with a serious mental illness and to children with a serious emotional disturbance. Includes in the comprehensive package health, mental health, rehabilitation, employment, housing, educational, dental, and other support services. Requires, for such children, a system of integrated social, educational, juvenile, substance abuse, health, and mental health services. Requires plans for service delivery to rural residents. Sets forth criteria for the centers, including providing: (1) 24-hour-a-day emergency services; and (2) day treatment or other partial hospitalization services, or psychosocial rehabilitation services. Requires States to establish and maintain a State mental health planning council to: (1) serve as an advocate for individuals with mental illnesses or emotional problems; and (2) review the allocation and adequacy of mental health services in the State. Authorizes appropriations to carry out: (1) this title; and (2) provisions requiring annual data collection on mental illness. Provides, with regard to existing alcohol and drug abuse and mental health services block grant provisions and the provisions added by this title, for: (1) annual independent peer review to assess the quality and appropriateness of treatment services; (2) a single consolidated application for States to request funds; (3) considering programs or activities funded in whole or in part with funds under such provisions as programs or activities receiving Federal financial assistance for purposes of specified civil rights laws; (4) a prohibition of discrimination in such programs or activities on the basis of sex or religion; and (5) a prohibition of the Secretary delegating to the States the primary responsibility for interpreting governing provisions. Title II: Comprehensive Mental Health Services for Children with Serious Emotional Disturbances - Directs the Secretary, through the Director of the National Institute of Mental Health, to make grants to public entities for comprehensive community mental health services to seriously emotionally disturbed children. Allows such grants only to those already receiving payments under existing alcohol and drug abuse and mental health services block grant provisions. Requires, in making the grants, special consideration for an entity which agrees to provide non-Federal contributions greater than required. Requires non-Federal contributions in a specified ratio. Requires grantees to establish and operate, through grants and contracts, one system to provide specified mental health services to children under 22 years old, including 24-hour-a-day emergency services, home-based services, day treatment, respite care, and therapeutic foster care. Requires a memorandum of understanding, to facilitate the availability of services, with providers of medical, educational, vocational counseling, vocational rehabilitation, and mental health protection and advocacy services. Prohibits using grant funds or non-Federal contributions made with respect to the grant for such linked non-mental health services. Requires that the system: (1) enter into a memorandum of understanding regarding facilitation of services available under programs such as title XIX (Medicaid) of the Social Security Act and specified provisions of the Individuals with Disabilities Education Act; (2) provide case management services; and (3) develop and implement an individualized plan of services for each child admitted to the system. Mandates submission by the States and approval by the Secretary of a system plan. Limits fees for system services. Limits grants to five years. Authorizes appropriations. Title III: Mental Health Research - Transfers provisions relating to service research on community-based mental health treatment programs from portions of the Public Health Service Act relating to State comprehensive mental health services plans to portions relating to mental health research. Requires a set-aside of a specified percentage of funds appropriated under the Act for mental health research to carry out the transferred provisions. Replaces, in the transferred provisions, references to the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration with references to the Director of the National Institute of Mental Health. Allows grants for certain community mental health services demonstration projects to be for five (currently, three) consecutive one-year periods. Establishes in the National Institute of Mental Health the Office of Rural Mental Health. Mandates grants for demonstration projects to improve the availability of mental health services by providing such services in the same facilities as other health or social services. Title IV: Protection and Advocacy for Mentally Ill Individuals - Amends the Protection and Advocacy for Mentally Ill Individuals Act of 1986 to authorize appropriations to carry out provisions of the Act relating to protection and advocacy systems. Title V: Conforming Amendments - Amends the Public Health Service Act to conform to changes made by this Act. Authorizes appropriations to carry out provisions relating to demonstration projects for individuals with positive tests for the etiologic agent for acquired immune deficiency syndrome. Title VI: Federal Accountability - Declares ineffective any rule or regulation of the Department of Health and Human Services inconsistent with the amendments made by this Act, including a specified regulation recognizing that, under the block grant programs, the States are primarily responsible for interpreting the governing statutory provisions. Title VII: General Provisions - Sets forth the effective date of this Act and the amendments made by this Act.
Bill· SS. 1368 (102nd)referred
United States · United States Congress · 25 June 1991
Hearing Impairment Research Act of 1991 - Amends the Rehabilitation Act of 1973 to authorize the Commissioner of the Rehabilitation Services Administrtion to make a grant to the Oregon Hearing Research Center in Portland, Oregon, to conduct research on hearing impairment, including research on treatment and rehabilitation. Allows such grant to be used to develop and disseminate new information regarding hearing impairment. Requires a grant application to be submitted to the Secretary of Education. Authorizes appropriations.
Bill· SS. 1353 (102nd)referred
United States · United States Congress · 21 June 1991
Pesticide Health and Safety Act of 1991 - Amends the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) to expand the definition of certified, private, and commercial applicators to include individuals who use registered (currently, restricted use) pesticides. Expands circumstances under which a pesticide is considered to be misbranded. Directs the Administrator of the Environmental Protection Agency to publish standards for neurotoxic information required to support pesticide registrations. Requires public health effects and the presence of toxic inert ingredients to be considered for the approval of a registration. Directs the Administrator to publish guidelines for calculating the benefits of a pesticide. Requires the Administrator to consider whether the denial of a registration will cause major disruptions in the nutritional balance of children or adults or adversely affect the quality or safety of the food supply. Makes fees collected in the reregistration and expedited processing fund available for research. Revises cancellation provisions to require the Administrator to cancel a pesticide registration if: (1) there are concerns that the pesticide causes adverse environmental or human health effects; or (2) the pesticide is not in compliance with FIFRA requirements. Requires the Administrator to review scientific information prior to issuing a proposed cancellation order and to base the cancellation decision on exposure data. Sets forth required contents of proposed cancellation orders and comment and review procedures for such orders. Requires the Administrator, if no comments opposing a proposed order have been received or if no changes are made to comply with registration conditions, to issue a final order cancelling registration, denying an application for registration, or changing the classification of the pesticide. Sets forth required contents of final orders. Requires all cancellation proceedings to be concluded within two years of the date the proposed order is published. Revokes tolerances (established under the Federal Food, Drug, and Cosmetic Act) for which final orders have been issued. Authorizes the Secretary of Health and Human Services to issue regulations to account for unavoidable residual environmental contamination existing after such revocation. Sets forth judicial review procedures. Authorizes any person to petition the Administrator for the suspension, cancellation, application denial, or reclassification of a pesticide. Sets forth reconsideration procedures. Authorizes the Administrator to summarily deny registration, amendment, or exemption applications for pesticides that have been subject to final orders cancelling or denying registration or changing classification unless the applicant presents substantial new evidence which affects the order. Sets forth reconsideration procedures. Directs the Administrator, if a pesticide cannot be cancelled pursuant to specified FIFRA cancellation criteria, to reclassify one or more uses of the pesticide for prescription use only. Provides that the prescription use classification shall require a certified pest control expert to inspect the setting in which the pesticide is to be applied to document the presence of the target pest and determine that no other pest control option is available. Provides for review of reclassifications in the appropriate court of appeals. Authorizes the Administrator to issue an order suspending a pesticide registration if the pesticide may cause adverse environmental or health effects. (Current law authorizes suspensions to prevent an imminent hazard.) Provides for termination of a suspension order within 180 days of issuance unless a proposed cancellation order has been published. Authorizes the continued sale or use of existing stocks of a suspended pesticide if such use will not cause adverse environmental or health effects. Requires existing stocks to bear labels stating that production of the pesticide has been suspended because of health and environmental concerns. Directs manufacturers, if the existing stocks may not be sold, to accept returns of the pesticide and provide reimbursement to purchasers. Permits the Administrator to terminate a suspension order at any time. Sets forth judicial review procedures. Requires registrations of pesticides registered before November 1, 1984, to automatically expire: (1) 19 years after the active ingredient was first registered; or (2) nine years after a date determined by the Administrator that products containing the ingredient are eligible for reregistration, whichever is later. Sets forth an expiration date of 15 years after the initial registration for pesticides registered after October 31, 1984. Requires registrations of pesticides containing more than one active ingredient to expire: (1) 15 years after the earliest registration for an active ingredient in the formulation; or (2) nine years after a date determined by the Administrator that pesticides containing one of the active ingredients in the product are eligible for reregistration, whichever is later. Provides for the subsequent expiration of all pesticide registrations every nine years after the most recent expiration. Requires tolerances to expire concurrently with registrations. Authorizes the continuation of tolerances for up to two years to ensure that agricultural products already in commerce can be sold. Permits the sale and use of existing stocks of expired pesticides for up to one year following the expiration, subject to certain conditions. Sets forth provisions concerning registration renewals. Authorizes the Administrator to require pesticide exporters and importers, applicants for, or holders of, experimental use permits, pesticide testing facilities, or holders of regulated pesticides to maintain certain records. Requires: (1) commercial and private applicators to keep specified records; and (2) pesticide dealers to keep records of each sale or distribution of a registered pesticide. Exempts the application of chemicals for cleaning, sanitizing, or disinfection purposes from applicator certification requirements. Provides that certification standards shall require individuals to be competent with respect to integrated pest management. Authorizes the Administrator (current law requires), when establishing or approving standards for licensing or certification, to establish separate standards for commercial and private applicators. Revises provisions concerning a scientific advisory panel.
Bill· SS. 1349 (102nd)referred
United States · United States Congress · 20 June 1991
Allows individuals who apply for Medicare cost-sharing payments within a specified period to receive retroactive payments for any medical costs they incurred while eligible for enrollment in the Qualified Medicare Beneficiary Program.
Bill· SS. 1336 (102nd)referred
United States · United States Congress · 20 June 1991
Amends the Higher Education Act of 1965 to revise and retitle title XI as Urban Community Service. Establishes an Urban Community Service program to provide incentives to urban institutions to devise and implement solutions to pressing and severe problems in their communities. Requires applications for such urban community service program grants to include documentation of the formation of a consortium that includes, in addition to the eligible urban institution of higher education, one or more of the folowing entities: (1) an urban school system; (2) a local government; (3) a business or other employer; and (4) a nonprofit institution. Allows the Secretary of Education (the Secretary) to waive such consortium requirements for applicants with an appropriate integrated and coordinated plan. Gives priority to applications that propose to conduct joint projects supported by other local, State, and Federal programs. Requires grant funds to be used for planning, applied research, technical training, resource exchanges, technology transfers, delivery of services, or other activities to design and implement programs to assist urban communities to meet and address their most pressing problems. Includes the following problem areas among those for which such activities are authorized: (1) work force preparation; (2) urban poverty and its alleviation; (3) health care, including delivery and access; (4) under-performing school systems and students; (5) problems faced by the elderly in urban settings; (6) problems faced by families and children; (7) crime prevention and alternative interventions; (8) urban housing; (9) urban infrastructure; (10) economic development; (11) urban environmental concerns; and (12) other problem areas which the participants agree are of high priority for that urban area. Establishes an Urban College, University, and School Partnerships program to encourage partnerships of urban institutions of higher education and secondary schools or local educational agencies (LEAs) serving low-income and disadvantaged urban students to support programs to improve school retention and graduation rates, student academic skills, opportunities to continue education beyond high school, and prospects for productive employment. Provides that such program shall also help institutions of higher education serve more effectively both nontraditional students and unemployed or underemployed adults, particularly in high unemployment areas. Allows such partnerships to include businesses, labor organizations, professional associations, community-based organizations, or other public or private agencies or organizations. Authorizes the Secretary to make grants to eligible partnerships to support the authorized program activities. Requires that grant preference be given to programs that: (1) serve predominantly low-income neighborhoods; (2) are conducted during the regular school year and during the summer; and (3) serve educationally disadvantaged students, potential dropouts, pregnant adolescents, and teenaged parents. Requires maintenance of fiscal effort by LEAs participating in such partnership agreement. Requires: (1) matching funds (in cash or kind) from the partnership; (2) a gradually declining specified Federal share of project costs; and (3) use of such Federal grant funds to supplement and not supplant non-Federal funds. Provides for: (1) peer review panels for title IX grant applications; and (2) multiyear disbursement of grant funds, under specified conditions. Authorizes appropriations.
Bill· HRH.R. 2707 (102nd)open
United States · United States Congress · 20 June 1991
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 1992 - Title I: Department of Labor - Department of Labor Appropriations Act, 1992 - Makes appropriations for FY 1992 for the following agencies within the Department of Labor: (1) Employment and Training Administration; (2) Labor-Management Services; (3) Pension Benefit Guaranty Corporation; (4) Employment Standards Administration; (5) Occupational Safety and Health Administration; (6) Mine Safety and Health Administration; (7) Bureau of Labor Statistics; and (8) Departmental Management. Prohibits the use of funds to grant variances, interim orders, or letters of clarification to employers which will allow exposure of workers to chemicals or other workplace hazards in excess of existing Occupational Safety and Health Administration standards for the purpose of conducting experiments on workers' health and safety. Title II: Department of Health and Human Services - Department of Health and Human Services Appropriations Act, 1992 - Makes appropriations for FY 1992 for the following agencies within the Department of Health and Human Services: (1) Health Resources and Services Administration; (2) Centers for Disease Control; (3) National Institutes of Health; (4) Alcohol, Drug Abuse, and Mental Health Administration; (5) Assistant Secretary for Health; (6) Agency for Health Care Policy and Research; (7) Health Care Financing Administration; (8) Social Security Administration; (9) Administration for Children and Families; (10) Human Development Services; and (11) Office of the Secretary. Prohibits the use of funds to perform abortions except where the life of the mother would be endangered if the fetus were carried to term. Directs the Secretary of Health and Human Services to make available through assignment not more than 60 employees of the Public Health service to assist in child survival activities and to work in AIDS programs through and with funds provided by the Agency for International Development, the United Nations International Children's Emergency Fund, or the World Health Organization. Prohibits the use of funds to pay for any experiment, or other activity that presents a danger to the physical, mental, or emotional well-being of a human participant or subject without the written, informed consent of the participant or subject (or their parents or legal guardian, if they are under 18 years old). Prohibits any of the funds appropriated in this title for the National Institutes of Health and the Alcohol, Drug Abuse, and Mental Health Administration from being used to pay the salary of an individual, through a grant or extramural mechanism, at a rate in excess of $125,000 per year. Prohibits the use of funds by the National Institutes of Health, or any other Federal agency, or recipient of Federal funds on any project that entails the capture or procurement of chimpanzees obtained from the wild. Title III: Department of Education - Department of Education Appropriations Act, 1992 - Makes appropriations for FY 1992 for the following purposes and agencies within the Department of Education: (1) compensatory education for the disadvantaged; (2) impact aid; (3) school improvement programs; (4) bilingual and immigrant education; (5) educational excellence; (6) rehabilitation services and handicapped research (including the Helen Keller National Center); (7) special institutions for the handicapped (including the American Printing House for the Blind, the National Technical Institute for the Deaf, and Gallaudet University); (8) vocational and adult education; (9) student financial assistance; (10) guaranteed student loans (liquidation of contract authority); (11) higher education; (12) Howard University; (13) higher education facilities loans; (14) college housing and academic facilities loans; (15) college housing loans; (16) education research, statistics, and improvement; (17) libraries; (18) departmental management; and (19) special education. Sets forth general provisions relating to auditing of certain institutions and to prohibitions on use of funds for certain forms of busing, other transportation, or transfers of students for purposes of desegregation. Prohibits the use of funds to prevent the implementation of programs of voluntary prayer and meditation in the public schools. Title IV: Related Agencies - Makes appropriations for FY 1992 for the following agencies: (1) ACTION; (2) Corporation for Public Broadcasting; (3) Federal Mediation and Conciliation Service; (4) Federal Mine Safety and Health Review Commission; (5) National Commission on Acquired Immune Deficiency Syndrome; (6) National Commission on Libraries and Information Science; (7) National Commission to Prevent Infant Mortality; (8) National Council on Disability; (9) National Labor Relations Board; (10) National Mediation Board; (11) Occupational Safety and Health Review Commission; (12) Physician Payment Review Commission; (13) Prospective Payment Assessment Commission; (14) Railroad Retirement Board; (15) United States Institute of Peace; (16) Soldiers' and Airmen's Home; and (17) United States Naval Home. Title V: General Provisions - Prohibits the use of funds to pay student assistance or any remuneration to an applicant for admission, student, teacher, or other employee of an institution of higher education if such individual has engaged in conduct on or after August 1, 1969, which involves the use of force (or assistance to others in such use) or the threat of force or the seizure of a property under the control of an institution of higher education, to require or prevent the availability of certain curricula, or to prevent such institution's faculty, administrative officials, or students from engaging in their duties or pursuing their studies. Requires that sums necessary for FY 1992 pay raises for programs funded by this Act be absorbed within the levels appropriated in this Act. Reduces, by specified amounts, appropriations for salaries and expenses of the Department of Labor, of Education, and of Health and Human Services, including travel costs of the Public Health Service. Prohibits the use of funds to enforce or otherwise implement regulations prohibiting abortion counseling and referral services and limiting program services to family planning. Prohibits the making of grants and contracts for family planning services unless specified conditions are met, including parental notification with respect to abortions.
Bill· SS. 1324 (102nd)open
United States · United States Congress · 19 June 1991
Poultry Consumer Protection Act of 1991 - Amends the Public Health Service Act to mandate a study and an annual report to specified congressional committees on the incidence of human infection from microbiological pathogenic contamination of the U.S. food supply with the salmonella group of bacteria and campylobacter jejuni. Authorizes appropriations. Prohibits retaliation against any employee who assists in the study.
Bill· SS. 1333 (102nd)referred
United States · United States Congress · 19 June 1991
Federal Used Property for Humanitarian Relief Act of 1991 - Amends the Federal Property and Administrative Services Act of 1949 to authorize the Administrator of the General Services Administration to make available to foreign governments or international relief agencies for humanitarian relief purposes nonlethal surplus personal property not needed for State disaster relief or by the American Red Cross or by States or territories for educational or public health purposes. Requires transfer of such property to the Secretary of State for distribution. Makes the Secretary responsible for the reacquisition of such property from the donee government or agency upon determining that its need for such property ceases to exist. Requires the Secretary to retransfer such property to the Administrator for further disposition. Authorizes executive agencies having any such property in a foreign country that has not been returned to the United States to make such a transfer. Repeals provisions authorizing the Secretary of Defense to make available for humanitarian relief purposes any nonlethal excess supplies of the Department of Defense.
Bill· SS. 1332 (102nd)referred
United States · United States Congress · 19 June 1991
Medicare Physician Regulatory Relief Amendments of 1991 - Amends title XVIII (Medicare) of the Social Security Act to: (1) prohibit the denial of physician claims because of patient failure to complete Medicare secondary payer questionnaires; (2) prohibit carriers from using extrapolation to recover the amounts they reimbursed physicians for claims for which Medicare disallows payment if the physician requests that each such claim be individually identified; (3) prohibit the imposition of specified user fees on physicians; (4) require consideration of physician comments in annual carrier performance reviews; (5) allow individuals (including physicians) to file administrative appeals when they have suffered damages as a result of the failure of a carrier to carry out Medicare policies; and (6) require review of medical necessity denials by physicians in the same medical specialty as the physician providing the service. Amends the Medicare and Medicaid (title XIX of the Social Security Act) programs to permit the reimbursement of a patient's regular physician for services provided by another physician who covers for the regular physician under contractual arrangements. Amends title XI of the Social Security Act to repeal the peer review requirement for certain surgical procedures.
Bill· HRH.R. 2695 (102nd)referred
United States · United States Congress · 19 June 1991
Medicare Physician Regulatory Relief Amendments of 1991 - Amends title XVIII (Medicare) of the Social Security Act to: (1) prohibit the denial of physician claims because of patient failure to complete Medicare secondary payer questionnaires; (2) prohibit carriers from using extrapolation to recover the amounts they reimbursed physicians for claims for which Medicare disallows payment, if the physician requests that each such claim be individually identified; (3) prohibit the imposition of specified user fees on physicians; (4) require consideration of physician comments in annual carrier performance reviews; (5) allow individuals (including physicians) to file administrative appeals when they have suffered damages as a result of the failure of a carrier to carry out Medicare policies; and (6) require review of medical necessity denials by physicians in the same medical specialty as the physician providing the service. Amends the Medicare and Medicaid (title XIX of the Social Security Act) programs to permit the reimbursement of a patient's regular physician for services provided by another physician who covers for the regular physician under contractual arrangements. Amends title XI of the Social Security Act to repeal the peer review requirement for certain surgical procedures.
Bill· HRH.R. 2692 (102nd)referred
United States · United States Congress · 19 June 1991
Older Women's Breast Cancer Prevention Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to: (1) repeal the limit on payment amounts for screening mammography under part B (Supplementary Medical Insurance) of the Medicare program; and (2) permit payment under such part to the physician who supervises such procedure but does not interpret its results.
Bill· HRH.R. 2691 (102nd)referred
United States · United States Congress · 19 June 1991
Prohibits a State from discriminating against a dental health care professional on the basis that such individual is a resident of another State or is licensed to perform dental services in another State when considering such individual's application for a license to perform such services. Authorizes aggrieved individuals and the Attorney General to bring civil actions against States violating such prohibition.
Bill· SS. 1313 (102nd)referred
United States · United States Congress · 18 June 1991
Rural Crime and Drug Control Act of 1991 - Title I: Fighting Drug Trafficking in Rural Areas - Amends the Omnibus Crime Control and Safe Streets Act of 1968 to authorize appropriations, and increase the base allocation, for rural drug enforcement assistance. Directs the Attorney General to establish a Rural Drug Enforcement Task Force in each of the Federal judicial districts which encompass significant rural lands. Specifies the membership of such task forces. Directs the Attorney General to cross-designate up to 100 Federal officers with jurisdiction to enforce Controlled Substances Act (CSA) provisions on non-Federal lands to the extent necessary to effect the purposes of this title. Requires the Director of the Federal Law Enforcement Training Center to develop a specialized course of instruction devoted to training law enforcement officers from rural agencies in the investigation of drug trafficking and related crimes. Authorizes appropriations. Title II: Federal Law Enforcement Agencies - Authorizes appropriations to hire, equip, and train not less than 350 agents and necessary support personnel to expand Drug Enforcement Administration investigations and operations against drug trafficking organizations in rural areas. Title III: Increasing Penalties for Certain Drug Trafficking Offenses - Ice Enforcement Act of 1991 - Amends the CSA to increase penalties for specified offenses involving crystalline methamphetamine. Title IV: Rural Drug Treatment - Amends the Public Health Services Act (PHSA) to require the Secretary of Health and Human Services to establish a program to provide grants to hospitals, community health centers, and other appropriate entities that serve nonmetropolitan areas to assist in developing and implementing projects that provide, or expand the availability of, substance abuse treatment services. Authorizes appropriations. Title V: Rural Drug Prevention - Amends the PHSA to require the Secretary, acting through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), to make grants to public and nonprofit private entities that serve nonmetropolitan areas to assist such entities in developing and implementing projects that provide, or expand the availability of, substance abuse prevention services. Sets forth requirements to receive grants. Directs the Administrator: (1) to give priority in awarding such grants to applications from community based organizations with experience serving nonmetropolitan areas and projects that are designed to serve areas that have no available existing treatment facilities; and (2) to the extent practicable, to provide grants to fund at least one project in each State. Limits grant awards to a period of up to three years, but allows the Administrator to establish a procedure for grant renewal. Authorizes appropriations. Requires the alcohol and drug abuse information clearinghouse required to be established under the PHSA to: (1) gather information pertaining to ADAMHA and other rural drug abuse treatment and education projects operating throughout the United States; and (2) disseminate information to rural hospitals, community health centers, community mental health centers, treatment facilities, community organizations, and other interested individuals. Title VI: Rural Land Recovery Act - Directs State and Federal prosecutors, when bringing charges against the operators of clandestine methamphetamine and other dangerous drug laboratories, to include, in addition to drug-related charges, counts involving infringements of applicable environmental protection laws, including illegal disposal of hazardous waste and knowing endangerment of the environment. Authorizes such prosecutors and private citizens to bring suit against the operators of such laboratories for environmental and health-related damages caused by the operators in their manufacture of illicit substances.
Bill· SS. 1319 (102nd)referred
United States · United States Congress · 18 June 1991
Directs the Secretary of Veterans Affairs to establish in Hawaii a post-traumatic stress disorder (PTSD) diagnosis and treatment facility to be known as the Pacific Center for Post-Traumatic Stress Disorder and War-Related Disorders. Outlines PTSD activities to be conducted at the Center, including: (1) the provision of inpatient and outpatient care services for veterans and members of the armed forces who live in the Pacific jurisdiction; (2) education and training programs on the disorder for health care and human service professsionals; (3) scientific research; (4) the coordination of PTSD research and treatment activities in Hawaii; and (5) the collection and dissemination of information regarding the diagnosis and treatment of PTSD, other war-related disorders, and disaster-related mental health problems. Directs the Secretary to ensure that such activities provide special emphasis on investigating the relationship between PTSD and the various cultural, ethnic, gender, and other psychological and social characteristics of persons who suffer from the disorder.
Bill· HRH.R. 2678 (102nd)referred
United States · United States Congress · 18 June 1991
Alcohol and Drug Abuse Residential Treatment Grants Act of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Office of Substance Abuse Prevention, to make grants to public and nonprofit private entities for purposes of providing specified alcohol and drug abuse residential treatment services to: (1) pregnant women and their minor children; (2) women who have given birth within 12 months of requesting treatment services and their minor children; and (3) other parents with whom a dependent child lives and their minor children, at the option of the applicant (except that such parents shall not be given priority in admission over the other eligible individuals). Authorizes grant applicants to restrict the age and number of children (but not to less than one unless all children are over age 13) that each parent may bring to the facility. Requires the Director to give priority to applicants that assure that they will give priority to providing services to pregnant women, mothers, and children eligible for Medicaid or who are low-income and do not have insurance covering such services. Describes the residential treatment services. Prohibits the awarding of a grant unless the applicant agrees that: (1) services will be provided to an individual for such period as is therapeutically required, except that such services may be limited to 12 months; and (2) services will be provided free of charge to individuals eligible for Medicaid and their minor children. Prohibits the awarding of a grant unless the facility: (1) is certified to provide such services and meets all applicable State licensure or certification requirements; and (2) has a certain amount of beds. Prohibits the awarding of a grant unless the applicant submits an application and reports regarding services and agrees that the grant will be used to supplement non-Federal funds for such services. Provides for evaluations of such services. Authorizes appropriations. Amends the Social Security Act to make medical assistance grants under title XIX of such Act (Medicaid) available for individuals receiving services under this Act.
Bill· HRH.R. 2661 (102nd)referred
United States · United States Congress · 18 June 1991
Maternal and Early Childhood Health Care Act of 1991 - Amends the Public Health Service Act to provide for the use of certain funds appropriated for migrant health centers (MHCs), community health centers (CHCs), and programs for health services for the homeless for: (1) the development and operation of Comprehensive Perinatal and Early Childhood Health Programs (CPECHPs); and (2) expanding services for pregnant women and children where MHCs and CHCs are already operating Comprehensive Perinatal Care Programs. Provides for grants to MHCs, CHCs, and homeless health service programs for the CPECHPs. Directs the Secretary of Health and Human Services, through the Centers for Disease Control (CDC), to provide vaccines to the health department of each State or large city operating an immunization project. Amends the Vaccine and Immunization Amendments of 1990 to direct the Secretary, through the CDC, to: (1) make grants to States (currently, to public and nonprofit private entities) for demonstration projects to provide, without administrative charge (currently, without charge), immunizations to children not over two years old; and (2) provide immunizations related to certain programs under the Public Health Service Act and the Child Nutrition Act of 1966; and (3) maintain private physician participation in immunization services and to encourage private physicians to provide such services to infants and children enrolled under title XIX (Medicaid) of the Social Security Act. Authorizes appropriations.
Law· SS. 1306 (102nd)enacted
United States · United States Congress · 17 June 1991
Alcohol, Drug Abuse, and Mental Health Administration Reorganization Act of 1991 - Title I: Administration and Institutes - Subtitle A: Restructuring - Amends the Public Health Service Act to remove provisions relating to the administration, institutes, and research of the Alcohol, Drug Abuse, and Mental Health Administration. Establishes, as an agency of the Public Health Service, the Alcohol, Drug Abuse and Mental Health Services Administration (ADAMHSA). Sets forth its general duties. Authorizes appropriations. Mandates: (1) grants to prevent and treat substance abuse among high risk youth; (2) grants for providing pregnant and postpartum women and their children substance abuse prevention, education, and treatment services, including primary health care, comprehensive social services, support services, counseling, housing, and case management; (3) grants to improve the provision of substance abuse treatment services, including through focusing on specified populations, treatment and vocational training in exchange for service, projects operated by community and migrant health centers, and treatment campus projects; (4) grants for drug and alcohol treatment services to individuals under criminal justice supervision; (5) grants to increase the number of full-time substance abuse treatment and prevention providers and the number of health professionals providing treatment and prevention as a component of primary health care; and (6) grants to States to expand their substance abuse treatment capacity. Authorizes appropriations. Authorizes: (1) grants or contracts for outreach to intravenous drug abusers to prevent exposure to and transmission of the etiologic agent for acquired immune deficiency syndrome; (2) grants, contracts, and cooperative agreements to develop and expand mental health and substance abuse treatment for homeless individuals; and (3) grants to communities for the development of comprehensive long-term strategies for the prevention of substance abuse and evaluation of different community approaches to such prevention. Authorizes appropriations. Authorizes grants for demonstration projects for: (1) community services for seriously mentally ill individuals and their families, seriously emotionally and mentally disturbed children and youth and their families, and seriously mentally ill homeless and elderly individuals; (2) the prevention of youth suicide; (3) recognition, assessment, treatment, and clinical management of depressive disorders; (4) the prevention of sex offenses and treatment and assistance to sex offense victims; (5) mental health services to family violence victims; and (6) prevention services for individuals at risk of developing mental illness. Authorizes appropriations. Requires: (1) the appointment of one or more advisory councils for ADAMHSA; (2) peer review of services grants, cooperative agreements, and contracts administered through ADAMHSA. Requires peer review approval for assistance under, and both peer review and advisory council approval for assistance over, a specified amount. Mandates a process to respond to misconduct in projects receiving funds under specified provisions. Authorizes and regulates the use of experts and consultants. Establishes within ADAMHSA the Office for Special Populations to take specified actions with regard to women, minorities, and the elderly. Establishes in the National Institutes of Health the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Drug Abuse (NIDA), and the National Institute of Mental Health (NIMH), requiring comprehensive research on cause, diagnosis, epidemiology, prevention, and treatment, including services research. Authorizes appropriations. Includes in the purpose of NIMH the study of psychological, social, and legal factors that influence behavior. Authorizes grants, cooperative agreements, and contracts through NIAAA, NIDA, and NIMH relating to research and demonstrations relative to the cause, diagnosis, treatment, control, and prevention of mental illness and substance abuse. Directs the Secretary of Health and Human Services to establish, through NIAAA, NIDA, and NIMH, National Health and Substance Abuse Education Programs to disseminate information on improved treatment and family assistance methods and to support training. Authorizes the Secretary, through NIAAA and NIDA, to designate National Substance Abuse Research Centers for interdisciplinary research on substance abuse and other biomedical, behavioral, and social issues. Mandates annual grants to Centers. Establishes in NIDA the Medication Development Program to take specified steps regarding: (1) medication to treat the symptoms and disease of alcohol and drug abuse and addiction and related mental disorders; and (2) supporting training in such areas. Mandates related grants or contracts and cooperative agreements. Subtitle B: Miscellaneous Provisions - Replaces provisions titled "Miscellaneous Provisions Relating to Substance Abuse and Mental Health" with provisions directing the Secretary, through the ADAMHSA Administrator, as feasible and on request of a State, to make technical assistance available for specified purposes, including: (1) program management and evaluation; (2) accreditation or licensure of facilities and personnel; and (3) improving the scope of mental health and substance abuse health insurance offered in the State. Makes the Secretary, through the Administrator, responsible for fostering substance abuse prevention and treatment programs and services in State and local governments and private industry. Mandates: (1) development of model programs suitable for replication on a cost-effective basis in different types of businesses and governmental entities; and (2) dissemination of information on the model programs. Prohibits denial or deprivation of Federal civilian employment or a Federal professional or other license or right solely on the grounds of prior substance abuse, except for employment in specified Federal agencies, any other Federal department or agency designated for purposes of national security by the President, or any Federal position determined to be sensitive. Prohibits discrimination against substance abusers who are suffering from medical conditions in admission or treatment, solely because of their substance abuse, by any private or public general hospital, or outpatient facility receiving any Federal support. Prohibits disclosure of patient information maintained in connection with substance abuse prevention, training, treatment, or research which is conducted or assisted by any Federal department or agency, subject to specified exceptions. Provides for monetary penalties. Mandates: (1) data collection on the national incidence and prevalence of the various forms of mental illness and substance abuse; and (2) competitive grants for epidemiological and longitudinal studies of infants and the families of infants with fetal cocaine and fetal alcohol syndromes. Authorizes appropriations. Provides, if the Secretary determines that a disease or disorder within the jurisdiction of ADAMHSA constitutes a public health emergency, for: (1) expediting peer and advisory committee review; (2) waiving advertising requirements for proposals for contracts; (3) increasing existing grants and contracts; and (4) disseminating information. Subtitle C: Transfer Provisions - Provides for the transfer from the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to: (1) ADAMHSA of authorities, responsibilities, services, personnel, assets, liabilities, orders, regulations, legal actions, and other matters; and (2) the appropriate Directors of NIAAA, NIDA, and NIMH all research related functions of ADAMHA. Subtitle D: Conforming Amendments - Amends specified provisions of the Public Health Service Act relating to projects for assistance in transition from homelessness and provisions relating to alternative utilization of military facilities to substitute references to the Administrator of ADAMHSA for references to: (1) the Director of the National Institute of Mental Health; and (2) the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse. Directs the Secretary to carry out provisions relating to alcohol and drug abuse and mental health services block grants through the Administrator. Subtitle E: Miscellaneous Provisions - Directs the Secretary to try to get alternative Federal funding for grantees receiving assistance under the community youth activity program under the Anti-Drug Abuse Act of 1988. Requires that the peer review systems, advisory councils, and scientific advisory committees used by NIAAA, NIDA, and NIMH before the transfer of those Institutes to NIH be used by those Institutes after the transfer. Title II: Reauthorization and Improvement of Alcohol and Drug Abuse and Mental Health Service Block Grant Program - Authorizes appropriations for the alcohol and drug abuse and mental health service block grant provisions of the Public Health Service Act. Revises the formula for determining the amount of block grant allotments. Requires that unobligated block grant funds remain available to a State if the Secretary finds that the funds were obligated but subsequently unobligated due to the State's diligence in carrying out the purposes of such provisions. Directs (currently, authorizes) the Secretary to waive a requirement (to spend at least 50 percent of specified funds reserved to carry out certain drug abuse activities) if the Secretary determines that the incidence of intravenous drug abuse in a State does not require that level of funding. Allows block grant allotments to be used for: (1) grants to community health centers for services relating to seriously (currently, chronically) mentally ill individuals; (2) grants to underserved populations of mentally ill individuals in State and local correctional facilities; (3) renovation that makes land or a facility suitable for use under such block grant provisions, including removing hazards or making the land or facility accessible to disabled persons; and (4) programs of treatment for adult and juvenile substance abusers in State and local criminal and juvenile justice systems. Replaces provisions prohibiting the use of block grant funds for the distribution of needles or bleach in connection with the use of illegal drugs with a provision prohibiting the use of such funds for any program prohibited by specified provisions (relating to needle or syringe distribution) of the Health Omnibus Programs Extension of 1988. Amends provisions limiting the percentage of block grant funds a State may use for administration to prohibit including in administrative expenses reasonable expenses incurred for training. Prohibits substance abuse treatment facilities and mental health treatment facilities receiving assistance under Public Health Service Act block grant provisions from discriminating against mentally ill substance abusers. Requires a State to maintain spending levels for alcohol and drug abuse and community mental health services at least at the level (currently, the average level) the State maintained during the previous two years. Removes a provision allowing waiver of that requirement due to extraordinary economic conditions in the State. Adds a requirement that the State mental health planning council comment on the State plan required under specified provisions. Requires a State, on request of the council, to submit the comments to the Secretary with the State plan. Requires development and implementation by a State, and annual approval by the Secretary, of a statewide Substance Abuse Prevention and Treatment Plan. Directs the Secretary, in making grants under existing provisions for the development of State comprehensive mental health services plans, act through the Administrator of ADAMHSA. Title III: Studies - Requires the Director of the NIDA to report to specified congressional committees on the role of the private sector in the development of anti-addiction medications, including legislative proposals designed to encourage private sector development of such medications. Requires the Commissioner of the Food and Drug Administration to report to specified congressional committees on the process by which anti-addiction medications receive marketing approval. Declares that it is the sense of the Congress that the Medications Development Division of the NIDA shall devote special attention and adequate resources to the development of specified medications relating to drug abuse. Requires the Directors of NIAAA, NIDA, and NIMH to establish a panel of independent experts in pharmacotherapeutic treatment of drug addiction to report to the appropriate congressional committees on the national strategy for developing such treatments. Requires the report to be made available to the public. Directs the Secretary to report to the appropriate congressional committees on a uniform definition of "serious mental illness." Requires the ADAMHSA Administrator, acting jointly with the NIMH Director, to report to the appropriate congressional committees on the most effective methods for, and the obstacles to, providing mental health services to individuals residing in correctional facilities.
Bill· HRH.R. 2657 (102nd)referred
United States · United States Congress · 17 June 1991
Medicaid Physician Payment Equity Act of 1991 - Amends title XIX (Medicaid) of the Social Security Act to require that the amount paid for physician services under a State plan for medical assistance under Medicaid may not be less than the amount paid for such services under the Medicare (title XVIII of the Social Security Act) program.
Bill· HRH.R. 2656 (102nd)referred
United States · United States Congress · 17 June 1991
Requires that Medicaid (title XIX of the Social Security Act) payments for inpatient hospital services be no less than: (1) 70 percent of the payments that would be made for such services under Medicare (title XVIII) during 1992; (2) 80 percent of such payments during 1993; (3) 90 percent of such payments during 1994; and (4) 100 percent of such payments during 1995. Amends the Medicaid program to prohibit any limitation on the amount, duration, or scope of Medicaid coverage for medically necessary inpatient hospital services. Provides that if Medicaid payments for inpatient hospital services are made on a prospective basis, an outlier adjustment in such payment amounts must be made for services involving exceptionally high costs or long stays.
Bill· HRH.R. 2637 (102nd)open
United States · United States Congress · 13 June 1991
Waste Isolation Pilot Plant Land Withdrawal Act - Withdraws specified lands in New Mexico for a maximum ten-year period from all forms of entry, appropriation, and disposal under the general land laws (including mineral leasing, geothermal, material sale, and mining laws). Reserves the withdrawn lands for use by the Secretary of Energy (the Secretary) for conducting test phase activities. Revokes specified administrative land withdrawal orders issued by the Secretary of the Interior. Confers management responsibility upon the Secretary of the Interior for such lands' withdrawal, and directs him to: (1) consult with the Secretary and the State of New Mexico in discharging such responsibilities; and (2) develop and submit to the State of New Mexico and certain congressional committees a management plan for the use of the Withdrawal until the end of the decommissioning phase. States that uses related to the Waste Isolation Pilot Plant Land Withdrawal (WIPP) take priority over other non-WIPP related uses. Prescribes grazing, hunting and trapping guidelines. Directs the Secretary of the Interior to dispose of salt tailings extracted from the Withdrawal that the Secretary determines are not needed for backfill at WIPP. Proscribes any form of mining (including slant drilling from outside boundaries) on Withdrawal lands. Authorizes the Secretary of Energy to close Withdrawal lands to the public for health and safety or common defense and security reasons. Requires the Secretary to review annually (and revise as necessary) the WIPP Test Phase Plan Performance Assessment, including a plan for any test phase activity to be conducted at WIPP. Conditions the plan's approval by the Administrator of the Environmental Protection Agency (EPA) upon a finding that the plan's proposed activities are necessary to demonstrate that the WIPP facility is in compliance with EPA disposal standards. Requires the Secretary to submit for the Administrator's review a detailed retrieval plan to be implemented by the Secretary in the event of noncompliance during the test phase with disposal standards of this Act or certain hazardous waste regulations under it. Mandates that the test phase plan and the retrieval plan be submitted by the Secretary to the State of New Mexico for its review. Provides for conflict resolution procedures if the State of New Mexico disagrees with any plan aspect. Sets forth requirements and limitations with respect to test phase activities. Prescribes guidelines for contact-handled and remote-handled transuranic radioactive waste operations in WIPP. Directs the Administrator to issue environmental standards for the disposal of spent fuel, high-level, and transuranic radioactive waste. Directs the Secretary to: (1) comply with all applicable environmental protection and public health and safety laws during the testing, operations, and decommissioning phase with respect to WIPP; and (2) submit biennially to the State of New Mexico documentation of continued compliance with its regulatory requirements (and those of the Administrator). Prescribes remedial procedures in the event of the Secretary's noncompliance with regulatory requirements during the testing, operations and decommissioning phases. Prohibits the Secretary from transporting high-level radioactive waste to WIPP, or from emplacing or disposing of it at WIPP. Authorizes appropriations for acquisition of a potash leasehold within the Withdrawal. Directs the Secretary to submit a WIPP decommissioning plan to specified congressional committees, the Administrator, the State of New Mexico, and the Secretary of the Interior. Directs the Secretary of the Interior to develop a post-decommissioning management and use plan for the Withdrawal. Declares that this Act does not affect the authority of the State of New Mexico under the Solid Waste Disposal Act. Directs the Secretary to encourage WIPP-related business and employment opportunities conducive to the economy of New Mexico, and to report annually to the State on such activities. Provides for impact assistance payments and payments to local governments (including medical emergency preparedness payments). Allocates appropriations for economic impact monitoring functions. Prohibits WIPP-related transuranic radioactive waste transportation: (1) except in packages that have been certified by the Nuclear Regulatory Commission and have satisfied its quality assurance provisions; or (2) from the Los Alamos National Laboratory until the Santa Fe bypass has been completed, or funds for its construction have been appropriated. Directs the Secretary to request the National Academy of Sciences to study and report to the Congress a comparison of the shipment of transuranic radioactive waste to the WIPP by truck and by rail.
Bill· HRH.R. 2651 (102nd)referred
United States · United States Congress · 13 June 1991
Contraception and Infertility Research Centers Act of 1991 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants or enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers with respect to contraception and two centers with respect to infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Services. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated.
Bill· HRH.R. 2644 (102nd)referred
United States · United States Congress · 13 June 1991
Grants a Federal charter to the National Academies of Practice, honoring persons of the health care professions.
Bill· HRH.R. 2648 (102nd)referred
United States · United States Congress · 13 June 1991
Comprehensive Service Programs for Homeless Veterans Act of 1991 - Directs the Secretary of Veterans Affairs to provide, either directly or by contract, for the establishment of not less than 25 outreach service centers for homeless veterans in areas where there is a significant number of such veterans. Prohibits the Secretary from contracting for the provision of such centers unless: (1) the contractor agrees to pay at least 25 percent of the amounts necessary to provide materials and services under the contract; and (2) the Secretary has determined that the contractor has the capacity to carry out such an agreement. Requires at least seven full-time employees to be assigned to each center, in addition to individuals currently employed by the Department of Veterans Affairs. Requires assigned employees to include medical and psychiatric care professionals and case managers. Outlines services to be provided at such centers, including case management, health care, mental health and employment counseling, social services, hygiene facilities, benefits assistance, legal assistance, transportation assistance, meals, and other appropriate services. Requires at least 35 percent of the centers to be established through contracts with private nonprofit providers. Authorizes appropriations for FY 1992 through 1994. Directs the Secretary to provide, either directly or by contract, not less than 20 mobile support teams to provide services through medically equipped vans in areas with a high percentage of homeless veterans and in rural areas without adequate access to medical services of the Department. Requires such services to include clinical care, case management, monitoring, meals, benefits assistance, and transportation services. Requires at least 35 percent of such mobile support teams to be provided through contracts with private nonprofit providers. Authorizes appropriations for FY 1992 through 1994. Directs the Secretary to provide for not less than 50 transitional group homes whose only residents shall be homeless veterans. Requires such homes to be established primarily in residential areas. Requires the following with respect to such transitional housing: (1) that the manager of the housing is a veteran who resides there; (2) that such residents have access to job training, substance abuse rehabilitation, health care, mental health services, case management, benefits assistance, and transportation; (3) that such residents are either employed part-time or involved in job training; (4) that appropriate veterans participate in a substance abuse counseling or rehabilitation program; (5) that alcohol or drug use in such housing will be prohibited and violators expelled; (6) that veterans residing in the housing pay rent to the extent of their ability to pay; and (7) that such housing is in compliance with State and local housing codes and regulations. Requires at least 35 percent of the group housing to be provided through contracts with private nonprofit providers. Authorizes appropriations. Directs the Secretary to conduct evaluations and report to the Congress on the outreach service centers program, the mobile support teams program, and the transitional group homes program. Authorizes the Secretary to accept services and equipment donated for such programs. Authorizes the Secretary to contract with nonprofit organizations for services performed or utilized under the outreach service centers program or the transitional group housing program.
Resolution· HCONRESH.Con.Res. 166 (102nd)referred
United States · United States Congress · 13 June 1991
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.
Bill· SS. 1277 (102nd)referred
United States · United States Congress · 12 June 1991
Beaches Environmental Assessment, Closure, and Health Act of 1990 - Amends the Federal Water Pollution Control Act to require each State adjoining coastal waters to submit an inventory of coastal recreation waters to the Administrator of the Environmental Protection Agency. Directs the Administrator to designate waters for States which fail to submit approved inventories. Requires the Administrator to publish regulations to protect the health and safety of persons swimming, bathing, or engaged in other body contact activities in such waters. Requires the regulations to establish numerical limits for water pollutants determined to pose a threat to public health and safety as a result of such activities. Directs the Administrator to establish uniform assessment and monitoring procedures for floatable materials in water and the conditions under which the presence of such materials constitutes a threat to public health and safety. Requires States to conduct monitoring of such waters and to notify local governments and the public of any violations of numerical limits or conditions concerning floatables. Directs the Administrator to reserve a specified amount of funds for States required to develop such inventories. Withholds such funds from States that are not complying with regulations. Requires the Administrator to study and report to the Congress on additional information regarding indicators for detecting the presence in coastal recreation waters of bacteria and viruses which are harmful to human health. Authorizes appropriations.
Bill· HRH.R. 2625 (102nd)referred
United States · United States Congress · 12 June 1991
Paperwork Reduction in Health Care Act of 1991 - Requires the Director of the Office of Management and Budget to: (1) identify, inventory, and assess the Federal paperwork burden associated with health care services; and (2) establish a goal for reducing such burden in each of FY 1992 through 1997 by at least five percent of the preceding fiscal year's paperwork burden.
Resolution· HCONRESH.Con.Res. 165 (102nd)referred
United States · United States Congress · 12 June 1991
Calls for the continuation of the investigation into the Medicare program (title XVIII of the Social Security Act) and the high cost under the program of durable medical equipment provided by certain suppliers.