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Bill· SS. 1358 (106th)referred
United States · United States Congress · 13 July 1999
Preserve Access to Care in the Home (PATCH) Act of 1999 - Amends title XVIII (Medicare) of the Social Security Act (SSA) and the Balanced Budget Act of 1997 (BBA '97) to eliminate the scheduled automatic 15 percent reduction in payment amounts to home health agencies furnishing home health services under the Medicare program. Amends SSA title XVIII to: (1) create outlier provisions for home health services; (2) revise the definition of homebound; and (3) restructure the review process for claims submitted by home health agencies. Amends BBA '97 for the stated purpose of restoring periodic interim payments for home health agencies. Expresses the sense of the Senate that the Secretary of Health and Human Services should: (1) ensure that the prospective payment system (PPS) for home health services provides for appropriate payment of services provided to beneficiaries at rates that include incentives to provide services efficiently to all beneficiaries and do not create unintentional incentives to discriminate against beneficiaries with complex medical conditions; (2) ensure that the establishment of the case mix adjustment for such services does not penalize agencies that serve such beneficiaries, provides some predictive value, and accounts for appropriate variables, such as age and health status; (3) establish a nationally uniform process to ensure that fiscal intermediaries have the training and ability to provide timely and accurate coverage and payment information to Medicare home health agencies; (4) assess home health agency regulatory costs associated with the PPS for home health services and consider the cost impact on the agency's ability to provide such services; and (5) provide periodic updates to Congress and home health agencies on the Secretary's progress in implementing such PPS.
Law· HRH.R. 2498 (106th)enacted
United States · United States Congress · 13 July 1999
Cardiac Arrest Survival Act of 1999 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to: (1) assist in providing for an improvement in the survival rates of individuals who experience cardiac arrest in Federal buildings by publishing in the Federal Register for public comment recommendations with respect to placing automatic external defibrillators in such buildings; and (2) assist Federal agencies in implementing programs for such placement. Requires the Secretary to determine criteria for: (1) the selection of the Federal public buildings in which defibrillators should be placed; (2) defibrillator maintenance; and (3) the coordination of the use of the defibrillators in public buildings with emergency medical services providers for the geographic areas in which the buildings are located. Provides that any person who provides emergency medical care through the use of a defibrillator, any person who maintained, tested, or provided training in the use of the device, any physician who provided medical oversight of the device, and the person who acquired the device (if specified conditions have been met) is immune from civil liability for any personal injury or wrongful death resulting from the provision of such care, unless the person engaged in gross negligence or willful or wanton misconduct under the applicable circumstances.
Bill· HRH.R. 2488 (106th)passed
United States · United States Congress · 13 July 1999
Financial Freedom Act of 1999 - Title I: Broad-Based Tax Relief - Subtitle A: 10-Percent Reduction in Individual Income Tax Rates - Amends the Internal Revenue Code (IRC) to provide for the phase-in of a ten percent individual income tax rate. Subtitle B: Marriage Penalty Tax Relief - Phases-in a standard deduction on a joint (married) return equal to twice the deduction of a single (not married) return. (Sec. 112) Makes the modified adjusted gross income limitation applicable in determining the deduction for interest on educational loans on a joint return double the limit of a single return. (Sec. 113) Raises from $100,000 (currently applicable to any filing status) to $160,000 (in the case of a joint return) the adjusted gross income limit applicable to rollovers from regular IRAs to Roth IRAs. Subtitle C: Repeal of Alternative Minimum Tax on Individuals - Phases-in a repeal of the alternative minimum tax for individuals. Title II: Relief from Taxation on Savings and Investments - Excludes from gross income a limited amount of dividends and interest otherwise includible in gross income. (Sec. 202) Reduces the individual capital gains tax rate. (Sec. 203) Applies the capital gains tax rates to capital gains of designated settlement funds. (Sec. 204) Provides, with respect to exclusion of gain from the sale of a principal residence, for the suspension of the five-year ownership and use requirement during the time that a member (or spouse) of the uniformed services or Foreign Service is on qualified official extended duty (as defined by this Act). (Sec. 205) Treats certain dealer derivative financial instruments, hedging transactions, and supplies as ordinary assets. (Sec. 206) Revises provisions concerning the worthless securities of financial institutions. Title III: Incentives for Business Investment and Job Creation - Phases-in a corporate capital gains tax rate reduction. (Sec. 302) Phases- in a repeal of the alternative minimum tax on corporations. Repeals the 90 percent limitation on the utilization of the foreign tax credit. Title IV: Education Savings Incentives - Renames education individual retirement accounts education savings accounts. Increases to $2,000 the maximum annual contribution allowed to such accounts. Permits tax-free expenditures from such accounts for elementary and secondary education expenses required for attendance at a public, private, or religious school, or for homeschooling that meets State requirements. Waives certain age limitations in cases of children with special needs. Permits corporations to contribute to such accounts. (Sec. 402) Permits private educational institutions to maintain qualified tuition programs which are comparable to qualified State tuition programs. Excludes qualified distributions from such accounts from gross income. (Sec. 403) Excludes from gross income certain amounts received under the National Health Corps Scholarship Program, the Armed Forces Health Professions Scholarship and Financial Assistance Program, the National Institutes of Health Undergraduate Scholarship Program, or any similar State program. (Sec. 404) Increases the amount by which certain governmental bonds used to finance public school capital expenditures may be exempted from specified arbitrage bond provisions. (Sec. 405) Modifies arbitrage rebate rules applicable to public school construction bonds. (Sec. 406) Repeals the 60-month limitation period on the allowance of the interest deduction on loans for higher education expenses. Title V: Health Care Provisions - Phases-in a 100 percent deduction (for both itemizers and nonitemizers) for the health and long- term care insurance costs of individuals not participating in employer-subsidized health plans. (Sec. 502) Permits offering long-term care insurance under cafeteria plans and flexible spending arrangements. (Sec. 503) Revises medical savings accounts provisions to: (1) repeal the limitation on the number of accounts; (2) make all employers (currently limited to small employers) eligible to offer accounts; (3) increase contribution deduction amounts; (4) permit employer and employee contributions; (5) reduce high deductible health plan deductibles; and (6) permit accounts to be offered under cafeteria plans. (Sec. 504) Permits a taxpayer an additional exemption for certain elderly family members who need long-term care and who reside with the taxpayer. (Sec. 505) Expands the time frame for human clinical trials qualifying for the orphan drug credit. (Sec. 506) Adds to the list of taxable vaccines any conjugate vaccine of streptococcus pneumoniae. Title VI: Estate Tax Relief - Subtitle A: Estate, Gift, and Generation-Skipping Taxes; Repeal of Step Up in Basis At Death - Repeals the estate tax, gift tax, and the tax on generation-skipping transfers, effective January 1, 2009. (Sec. 602) Terminates, effective January 1, 2009, the current provisions providing for determining the basis of property the acquired from a decedent and sets forth new provisions for determining the basis of certain property acquired from a decedent dying after December 31, 2008. Subtitle B: Reductions of Estate and Gift Tax Rates Prior to Repeal - Sets forth additional estate and gift tax reductions applicable to the period prior to repeal. Subtitle C: Unified Credit Replaced Unified Exemption Amount - Replaces the unified credit with a unified exemption amount. Subtitle D: Modifications of Generation-Skipping Tax - Amends provisions concerning the special rules for allocation of the generation-skipping tax (GST) exemption to provide, as a general rule, that: (1) if any individual makes an indirect skip during such individual's lifetime, any unused portion of such individual's GST exemption shall be allocated to the property transferred to the extent necessary to make the inclusion ratio for such property zero; and (2) if the amount of the indirect skip exceeds such unused portion, the entire unused portion shall be allocated to the property transferred. Title VII: Tax Relief for Distressed Communities and Industries - Subtitle A: American Community Renewal Act of 1999 - Authorizes the Secretary of Housing and Urban Development to designate (upon local or State nomination) up to 20 renewal communities, of which at least four shall be in rural areas. Requires for nomination purposes that: (1) the area be experiencing high rates of poverty and unemployment and general distress; and (2) State and local governments enter into written contracts with community organizations to promote specified economic growth and employment activities. Excludes from gross income capital gains on the sale or exchange of a qualified community asset (stock, business property, or partnership interest) held for more than five years. Allows a specified deduction for amounts paid into a family development account on behalf of a renewal community resident. Excludes from gross income account distributions used for qualified family development expenses (postsecondary education, first-home purchase, business capitalization, medical, and rollovers). Provides a penalty (with exceptions) in addition to inclusion as gross income for nonqualifying distributions. Provides for designation of up to five qualifying renewal communities as matching demonstration areas eligible to receive family development account matching contributions. Authorizes: (1) designation of earned income tax credit payments for family development account deposit; (2) a commercial building revitalization tax deduction; (3) increased first year expensing for renewal community businesses; (4) extension of environmental remediation cost expensing and the work opportunity credit for renewal communities; and (5) similar tax treatment of renewal communities and enterprise zones for specified youth residence requirements. Permits a deduction for contributions to a family development account whether or not a taxpayer itemizes. (Sec. 705) Makes conforming amendments to provisions respecting: (1) tax on excess contributions and prohibited transactions; (2) trust and annuity information; (3) tax exemption applications; and (4) the commercial revitalization credit. (Sec. 706) Sets forth reporting requirements. Subtitle B: Farming Incentive - Disregards any option to accelerate the receipt of any payment under a production flexibility contract which is payable under the Federal Agriculture Improvement and Reform Act of 1996, as in effect on the date of the enactment of this Act, in determining the taxable year for which such payment is properly includible in gross income for purposes of the IRC. Subtitle C: Oil and Gas Incentive - Permits a five-year net operating loss carryback for losses attributable to operating mineral interests of independent oil and gas producers. Subtitle D: Timber Incentive - Increases the maximum permitted amortization of reforestation expenditures. Subtitle E: Steel Industry Incentive - Increases, for steel companies, the credit allowed against the regular tax for prior year minimum tax liability. Title VIII: Relief for Small Businesses - Provides for the deduction of 100 Percent of the health insurance costs of self-employed individuals. (Sec. 802) Increases to $30,000 the amount which may be expensed as section 179 property. (Sec. 803) Makes the 6.2 percent Federal Unemployment Tax Act rate effective through calendar year 2004 (currently, 2007) and the 6.0 percent rate effective through calendar year 2005 (currently, 2008). (Sec. 804) Phases-in an 80 percent meal expenses deduction. Title IX: International Tax Relief - Permits, for interest allocation rule purposes, treating each electing worldwide affiliated group an affiliated group. (Sec. 902) Revises provisions concerning the of application of look-thru rules to dividends from noncontrolled section 902 corporations to provide, in general, that any dividend from a noncontrolled section 902 corporation with respect to the taxpayer shall be treated as income in a separate category in proportion to the ratio of: (1) the portion of earnings and profits attributable to income in such category; to (2) the total amount of earnings and profits. (Sec. 903) Excludes from the definition of "foreign base company oil related income" the pipeline transportation of oil or gas within such foreign country. (Sec. 904) Excludes from the definition of "foreign base company services income" income derived in connection with the performance of services which are related to the transmission of high voltage electricity. (Sec. 905) Defines overall domestic loss and sets forth provisions for determining taxable income for any taxpayer sustaining such a loss. (Sec. 906) Repeals the special rule for military property with respect to exempt foreign trade income. (Sec. 907) Exempts from taxation certain regulated investment company dividends received by nonresident aliens. Treats certain regulated investment company stock owned by nonresident noncitizens as non-U.S. property for estate tax purposes. (Sec. 908) Repeals section 907 (Special Rules In Case of Foreign Oil and Gas Income) of the IRC. (Sec. 909) Requires a study and a report on the feasibility of treating all countries in the European Union as one country under subpart F (Controlled Foreign Corporations) of part III (Income From Sources Without the United States) of subchapter N (Tax Based on Income From Sources Within or Without the United States) of chapter 1 (Normal Taxes and Surtaxes) of the IRC. (Sec. 910) Permits the President to determine that the continued denial of the foreign tax credit with respect to a foreign country is no longer in the national interests of the United States. (Sec. 911) Treats advance pricing agreements as confidential taxpayer information. (Sec. 912) Phases in an increase in the dollar limitation on the section 911 (Citizens or Residents of the United States Living Abroad) exclusion. Title X: Provisions Relating to Tax-Exempt Organizations - Exempts an organization from income tax if it is created by a State to provide property and casualty insurance coverage for property for which such coverage is otherwise unavailable. (Sec. 1002) Amends the Tax Reform Act of 1984 to revise the special arbitrage rule. (Sec. 1003) Amends the IRC to disallow a deduction for the transfer of a charitable contribution to or for the use of a State or charitable tax-exempt organization or trust if in connection with such transfer: (1) the organization directly or indirectly pays, or has previously paid, any premium on any personal benefit contract (life insurance, annuity, or endowment contract, also known as charitable split-dollar life insurance) with respect to the transferor; or (2) there is an understanding (side agreement) that any person will directly or indirectly pay any premium on such contract with respect to such transferor. Imposes on such organization an excise tax equal to the premiums paid by it on the personal benefit contract. Provides that certain persons shall not be treated as indirect beneficiaries: (1) in certain cases in which a charitable organization purchases an annuity contract to fund an obligation to pay a charitable gift annuity; or (2) solely by reason of being a noncharitable recipient of an annuity or unitrust amount paid by a charitable remainder trust that holds a life insurance, annuity or endowment contract. (Sec. 1004) Requires the Secretary of the Treasury to establish a procedure for exemption from the self- dealing tax. (Sec. 1005) Revises provisions concerning: (1) declaratory judgments relating to tax-exempt organizations; and (2) the special rules for certain amounts of unrelated business taxable income received from controlled entities. Title XI: Real Estate Provisions - Subtitle A: Provisions Relating to Real Estate Investment Trusts - Part I: Treatment of Income and Services Provided by Taxable REIT Subsidiaries - Excludes taxable REIT subsidiaries (TRSs) from the five and ten percent asset tests. (Sec. 1102) Allows TRSs to provide non-customary tenant services. (Sec. 1103) Allows a REIT to establish a TRS (as defined). (Sec. 1104) Includes in the definition of "disqualified interest" (Sec. 163 of the IRC) any interest paid or accrued by a TRS to the REIT. (Sec. 1105) Imposes a 100 percent tax on any interest payments by a TRS to the REIT in excess of the commercially reasonable interest rate. Part II: Health Care REITs - Includes within the definition of the term "foreclosure property" any qualified health care property acquired by a REIT as the result of the termination of a lease of such property. Part III: Conformity With Regulated Investment Company Rules - Changes the distribution requirement from 95 percent to 90 percent. Part IV: Clarification of Exception From Impermissible Tenant Service Income - Provides, with respect to the definition of an independent contractor, that in the event that any class of stock of is regularly traded on an established securities market, only owners who own, directly or indirectly, more than five percent of such class of stock shall be taken into account as owning any of the stock of such class for purposes of applying the 35 percent limitation. Part V: Modification of Earnings and Profits Rules - Provides rules for determining whether a Regulated Investment Company (RIC) has earnings and profits form a non-RIC year. Part VI: Study Relating to Taxable REIT Subsidiaries - Directs the: (1) Commissioner of Internal Revenue shall conduct a study to determine how many taxable REIT subsidiaries are in existence and the aggregate amount of taxes paid by such subsidiaries; and (2) the Secretary of the Treasury to submit a report to Congress describing the results of such study. Subtitle B: Modification of At-Risk Rules for Publicly Traded Securities - Revises, with respect to real property, provisions concerning the treatment under the at-risk rules of publicly traded nonrecourse debt. Subtitle C: Treatment of Construction Allowances and Certain Contributions To Capital of Retailers - Amends provisions which exclude from the gross income of a lessee any amount received in cash by a lessee from a lessor under a short-term lease of retail space used for the purpose of such lessee's constructing or improving long-term real property for use in the lessee's business to makes such exclusion inapplicable under a short-term lease if the lessee is a qualified retail business. (Sec. 1172) Defines the term "contribution to the capital of the taxpayer" to include any amount of money or other property received by the taxpayer if: (1) the taxpayer has entered into an agreement to operate a qualified retail business at a particular location for at least 15 years; (2) immediately after the receipt of such money or other property, the taxpayer owns the land and the structure to be used by the taxpayer in carrying on a qualified retail business at such location, or the taxpayer uses such amount to acquire ownership of at least such land and structure; (3) such amount meets the requirements of the expenditure rule; and (4) the contributor of such amount does not hold a beneficial interest in any property located on the premises of such qualified retail business other than de minimis amounts of property associated with the operation of property adjacent to such premises. Defines the terms "expenditure rule" and "qualified retail business." Title XII: Provisions Relating to Pensions - Subtitle A: Expanding Coverage - Increases the $90,000 limit on defined benefit plans to $160,000. Changes the age from which such limit will be reduced from the social security retirement age to 62 and the age from which the limit will be increased from the social security retirement age to 65. Increases the $30,000 limit for defined benefit contribution plans to $40,000. Increases the $150,000 compensation limit to $200,000. Increases the elective deferral limit to $15,000. (Sec. 1202) Eliminates certain current rules concerning plan loans made to an owner-employee. (Sec. 1203) Revises the definition of a top-heavy plan and a key employee for purposes of the special rules for top-heavy plans. Takes into account: (1) matching contributions for minimum contribution requirements; and (2) distributions during the last year before the determination date. (Sec. 1204) Provides that elective deferral contributions are not subject to deduction limits. (Sec. 1205) Amends the Employee Retirement Income Security Act of 1974 to provide that, during the first five years of a new single-employer plan of a small employer (100 or fewer employees), the flat rate Pension Benefit Guaranty Corporation (PGBC) premium will be five dollars per plan participant. Provides for a reduced additional PGBC variable premium for new and small employers. (Sec. 1207) Repeals specified coordination requirements under the Code for deferred compensation plans of State and local governments and tax-exempt organizations. (Sec. 1208) Eliminates user fee requirements for requests to the IRS concerning the status of pension plans. (Sec. 1209) Revises the definition of compensation, for purposes of the deduction rules, to include salary reduction amounts treated as a participant's compensation. (Sec. 1210) Provides for optional treatment of elective deferrals as plus contributions. Defines such contributions. (Sec. 1211) Phases-in an increase in the minimum annual benefit permitted under a defined benefit contribution plan. Subtitle B: Enhancing Fairness for Women - Allows additional salary reduction catch-up contributions for those approaching retirement under IRC requirements relating to: (1) elective deferrals; (2) simple retirement accounts; and (3) deferred compensation plans of State and local governments and tax-exempt organizations. (Sec. 1222) Sets forth requirements relating to equitable treatment for contributions of employees to defined contribution plans. Requires that certain contributions by church plans are not to be treated as exceeding a specified limit. (Sec. 1223) Provides for faster vesting of certain employer matching contributions. (Sec. 1224) Revises minimum distribution rules under the IRC. Directs the Secretary of the Treasury to: (1) simplify and finalize the regulations relating to minimum distribution requirements; and (2) modify such regulations to reflect increases in life expectancy, and revise required distribution methods so that, under reasonable assumptions, the amount of the required minimum distribution does not decrease over a participant's life expectancy. Provides that, during the first year that such revised regulations are in effect, required distributions for future years may be redetermined, with the opportunity to choose a new designated beneficiary and to elect a new method of calculating life expectancy. (Sec. 1225) Revises requirements relating to tax treatment of division of section 457 plan benefits upon divorce. Subtitle C: Increasing Portability for Participants - Permits rollovers from and to various types of plans under the IRC. (Sec. 1232) Permits individual retirement plan (IRA) rollovers only if certain conditions are met. (Sec. 1233) Permits rollover of after-tax contributions in an exempt trust under specified conditions. (Sec. 1234) Sets forth a hardship exception to the 60-day rule. (Sec. 1235) Sets forth requirements for treatment of forms of distribution available under transferor and transferee plans, under the IRC. (Sec. 1236) Revises restrictions on distributions, including the same desk exception. (Sec. 1237) Authorizes trustee-to-trustee transfers to purchase permissive service credit with respect to governmental defined benefit plans. (Sec. 1238) Allows employers to disregard rollovers for purposes of cash-out amounts, under retirement plan provisions of the Code and ERISA. (Sec. 1239) Revises minimum distribution and inclusion requirements for section 457 plans. Subtitle D: Strengthening Pension Security and Enforcement - Amends the IRC to revise the percentage of current liability funding limit. (Sec. 1242) Revises maximum contribution deduction rules and applies them to all defined benefit plans under the IRC. (Sec. 1243) Amends ERISA to revise requirements relating to missing participants. Directs the PBGC to prescribe rules relating to missing participants for multiemployer plans covered by the PBGC that terminate. Allows the administrator of a plan not otherwise subject to such PBGC regulation to elect to transfer a missing participant's benefits to the PBGC upon termination of the plan, under specified conditions. (Sec. 1244) Amends the IRC to allow an employer, in determining the amount of nondeductible contributions for any taxable year, to elect not to take into account any contributions to a defined benefit plan except to the extent that they exceed the full-funding limitation. (Sec. 1245) Imposes an excise tax on a plan failing to provide required notice of a significant reduction in the rate of future benefit accrual. Subtitle E: Reducing Regulatory Burdens -Repeals a multiple use test. Directs the Secretary prescribe regulations permitting appropriate aggregation of plans and contributions. (Sec. 1252) Amends the Code and ERISA to revise requirements relating to timing of plan valuations. (Sec. 1253) Directs the Secretary of the Treasury to modify regulations in order to expand the ability of a pension plan to demonstrate compliance with the nondiscrimination and line of business requirements. (Sec. 1254) Amends ERISA rules for substantial owners relating to plan terminations to revise: (1) the phase-in of the guarantee; and (2) the allocation of assets. (Sec. 1255) Amends IRC requirements for applicable dividends to allow dividends of employee stock ownership plans to be reinvested without loss of dividend deduction. (Sec. 1256) Revises the notice and consent period regarding distributions. Directs the Secretary to modify certain regulations to provide that the description of a participant's right, if any, to defer receipt of a distribution shall also describe the consequences of failing to defer such receipt. (Sec. 1257) Repeals a transition rule relating to certain highly compensated employees under the Tax Reform Act of 1986. (Sec. 1258) Directs the Secretary to modify certain regulations with respect to certain plan participation by employees of tax-exempt entities under the IRC. (Sec. 1259) Excludes qualified retirement planning services from gross income (as a fringe benefit). (Sec. 1260) Prescribes requirements for plan amendments or annuity contract amendments under the IRC. (Sec. 1261) Directs the Secretary of the Treasury to issue model defined contribution and benefit plans that fit the needs of small businesses. (Sec. 1262) Directs the Secretary to provide for the filing of a simplified annual return in the case of a retirement plan covering less than 25 employees. (Sec. 1263) Directs the Secretary to continue to update and improve the Employee Plans Compliance Resolution System. Title XIII: Miscellaneous Provisions - Subtitle A: Provisions Primarily Affecting Individuals - Provides that the exclusion of State or local government foster care payments from the gross income of foster care providers shall also apply to payments by qualifying placement agencies. (Sec. 1302) Excludes from an individual's gross income amounts received as reimbursement regarding the use of a passenger automobile for the benefit of a charitable organization. Relieves the organization of certain reporting requirements regarding the reimbursements. (Sec. 1303) Requires a W-2 to include employer Social Security taxes paid. Subtitle B: Provisions Primarily Affecting Businesses - Includes income from publicly traded partnerships as qualifying income of regulated investment companies. Excludes distributions from the source-based inclusion limitation applicable to other partnerships. (Sec. 1312) Applies specified passive activity provisions for publicly traded partnerships to regulated investment companies. (Sec. 1313) Makes certain large electric trucks, vans and buses eligible for the $50,000 deduction clean-fuel property deduction, but not the $4,000 electric vehicle credit. (Sec. 1314) Modifies the special rules concerning nuclear decommissioning costs. (Sec. 1315) Repeals certain provisions concerning the filing of consolidated returns by insurance companies. Subtitle C: Provisions Relating to Excise Taxes - Combines the Hazardous Substance Superfund and the Leaking Underground Storage Tank Trust Fund (LUST) into the Environmental Remediation Trust Fund (established by this Act). (Sec. 1322) Repeals the: (1) LUST taxes on fuel used in trains; and (2) 4.3-cents- per-gallon General Fund excise tax on diesel fuel used by railroads and on fuels used by barges operating on designated inland waterways. (Sec. 1323) Repeals the excise tax on fishing tackle boxes. Subtitle D: Other Provisions - Amends IRC provisions concerning State private activity bond volume limits to repeal the adjustment for years after 1987. (Sec. 1332) Permits, in general, an electing Alaska Native Settlement Trust to exclude contributions, during the year of contribution, from the gross income of a beneficiary. Subtitle E: Tax Court Provisions - Authorizes the Tax Court to charge a filing fee of up to $60 in all cases commenced by petition. (Sec. 1342) Authorizes the Tax Court to make the $30 practice fee available to pro se taxpayers. (Sec. 1343) Permits the Tax Court to apply the doctrine of equitable recoupment to the same extent that it is available in civil tax cases. Title XIV: Extensions of Expiring Provisions - Extends, for five years, the: (1) research credit; (2) subpart F (Controlled Foreign Corporations) exemption for active income financing; (3) taxable income limit on percentage depletion for marginal oil and gas wells; and (4) work opportunity credit and the welfare-to-work credit. Title XV: Revenue Offsets - Amends provisions involving returns relating to the cancellation of indebtedness by certain entities to include within the definition of "applicable financial entity" any organization a significant trade or business of which is the lending of money. (Sec. 1502) Directs the Secretary to establish a program requiring the payment of user fees for requests to the IRS for ruling letters, opinion letters, determination letters, and other similar requests. Terminates fees October 1, 2007. (Sec. 1503) Modifies rules relating to the exemption of certain ten or more employer plans from welfare benefit fund provisions. (Sec. 1504) Increases the withholding rate for nonperiodic distributions from 10 to 15 percent. (Sec. 1505) Makes a controlled entity ineligible to be a REIT. Defines "controlled entity." (Sec. 1506) Treats a gain as an ordinary gain to the extent such gain exceeds the net underlying long-term capital gain where the taxpayer has gain from a constructive ownership transaction with respect to any financial position and such gain otherwise would be treated as a long-term capital gain. Provides that, to the extent such gain is treated as a long-term capital gain after the application of the previous sentence, the determination of the applicable capital gain rate (or rates) shall be determined on the basis of the respective rate (or rates) that would have been applicable to the net underlying long-term capital gain. Sets forth definitions and exceptions. (Sec. 1507) Prohibits transfers of excess pension assets to retiree health account made after September 30, 2009 (currently, after December 31, 2000), from being treated as qualified transfers. (Sec. 1508) Prohibits, in general, the use of the installment method of accounting for accrual method dispositions. Title XVI: Technical Corrections - Sets forth amendments concerning, among other things: (1) the Tax and Trade Relief Extension Act of 1998; (2) the Internal Revenue Service Restructuring and Reform Act of 1998; (3) the Taxpayer Relief Act of 1997; (4) the treatment of worthless securities of affiliated corporations; (5) the IRA contribution amount of the lesser earning spouse; (6) modified endowment contracts; (7) lump-sum distributions; and (8) tentative carryback adjustments of losses from section 1256 contracts.
Bill· HRH.R. 2492 (106th)referred
United States · United States Congress · 13 July 1999
Medicare Home Health Payment Improvement Act of 1999 - Amends title XVIII (Medicare) of the Social Security Act (SSA) and the Balanced Budget Act of 1997 (BBA '97) to eliminate the scheduled 15 percent reduction in payment amounts to home health agencies furnishing home health services under the Medicare program. Allows home health agencies to elect to repay certain overpayments made by the Secretary of Health and Human Services over a 60-month no- interest grace period. Makes such an election effective as if included in BBA '97. Directs the Secretary to report to Congress and the Comptroller General (CG) on the costs incurred by Medicare home health agencies in complying with the Outcome and Assessment Information Set (OASIS) patient data collection requirement. Requires the CG to conduct an independent audit of such costs for a report to Congress. Amends SSA title XVIII to eliminate the incremental billing requirement with respect to home health service visits under the Medicare program.
Resolution· HCONRESH.Con.Res. 152 (106th)open
United States · United States Congress · 13 July 1999
Expresses the sense of Congress that: (1) prescription drug accessibility is crucial to the well-being of senior citizens; (2) prescription drug costs should not prohibit seniors from taking the vital steps necessary to maintain their health; (3) extending prescription drug benefits to seniors should not require the creation of extensive new bureaucracies, regulations, or price controls; and (4) Congress should pursue legislative measures to address this matter as soon as possible.
Bill· HRH.R. 2471 (106th)referred
United States · United States Congress · 12 July 1999
Public Health Osteoporosis Screening, Diagnosis, and Treatment Act of 1999 - Amends the Public Health Service Act to: (1) make osteoporosis screening a required primary health service for Federal health centers; and (2) authorize the Secretary of Health and Human Services to make grants to States and local governments for the establishment and operation of programs for screenings, referrals, and education regarding osteoporosis. Authorizes appropriations.
Bill· HRH.R. 2485 (106th)referred
United States · United States Congress · 12 July 1999
Federal Adoption Services Act of 1999 - Amends the Public Health Service Act to permit family planning projects to offer adoption services. Requires such services to be nondiscriminatory as to race, color, religion, or national origin.
Bill· HRH.R. 2470 (106th)referred
United States · United States Congress · 12 July 1999
Medical Information Protection and Research Enhancement Act of 1999 - Title I: Individual's Rights - Subtitle A: Review of Protected Health Information by Subjects of the Information - Requires specified health entities in possession of protected health information to arrange (except in certain circumstances) for its inspection or copying upon the request of the individual subject of such information (subject individual). Prescribes procedures for: (1) notification upon request denial, including the reasons for such denial, and the concomitant review procedures; (2) requests by such individual to amend such information; and (3) conspicuous disclosure of such entities' confidentiality practices. (Sec. 103) Directs the Secretary of Health and Human Services (the Secretary) to develop model notices of confidentiality. Subtitle B: Establishment of Safeguards - Mandates: (1) administrative, technical, and physical safeguards for protected health information; (2) a record of any protected health information disclosures; and (3) identification of disclosed information as protected health information. Title II: Restrictions on Use and Disclosure - Prescribes guidelines for disclosure of protected health information with respect to: (1) authorizations for treatment, payment, and health care operations; (3) the individual's next of kin and directory information; (4) emergency circumstances; (5) certain oversight agencies; (6) public health authorities; (7) health researchers; (8) civil, judicial, and administrative procedures; (9) certain law enforcement procedures; (10) payment for health care through card or electronic means; (11) certain duly authorized representatives acting on behalf of a subject individual (including a deceased subject individual and a minor); and (12) certain business sales, transfers, or mergers. (Sec. 213) Precludes permissible disclosures from liability. Title III: Sanctions - Subtitle A: Criminal Provisions - Amends the Federal criminal code to impose criminal penalties for knowingly and intentionally obtaining or disclosing protected health information in violation of title II of this Act. Subtitle B: Civil Sanctions - Establishes civil monetary penalties for substantial and material failure to comply with this Act. (Sec. 312) Prescribes a procedure for imposition and judicial review of such penalties. (Sec. 313) Grants exclusive enforcement authority to the insurance commissioner of the life insurer's domicile State. Title IV: Miscellaneous - Preempts, subject to exceptions, any State law relating to matters covered by this Act. (Sec. 401) Authorizes the Secretaries of Defense and of Transportation to establish exceptions to the disclosure requirements of this Act with respect to Department of Defense and Coast Guard personnel, respectively, pursuant to the Secretaries' determination that exceptions are necessary for national defense purposes. (Sec. 403) Directs the National Research Council, in conjunction with the Institute of Medicine of the National Academy of Sciences, to study and report to Congress on research issues relating to protected health information.
Bill· SS. 1344 (106th)open
United States · United States Congress · 8 July 1999
TABLE OF CONTENTS: Title I: Health Insurance Bill of Rights Subtitle A: Access to Care Subtitle B: Quality Assurance Subtitle C: Patient Information Subtitle D: Grievances and Appeals Procedures Subtitle E: Protecting the Doctor-Patient Relationship Subtitle F: Promoting Good Medical Practice Subtitle G: Definitions Title II: Application of Patient Protection Standards to Group Health Plans and Health Insurance Coverage Under Public Health Service Act Title III: Amendments to the Employee Retirement Income Security Act of 1974 Title IV: Application to Group Health Plans Under the Internal Revenue Code of 1986 Title V: Effective Dates; Coordination in Implementation Patients' Bill of Rights Act of 1999 - Title I: Health Insurance Bill of Rights - Subtitle A: Access to Care - Requires any group health plan, or health insurance coverage offered by a health insurance issuer, providing emergency services benefits to cover emergency services furnished: (1) without the need for any prior authorization determination; (2) whether or not the health care provider furnishing such services is a participating health care provider; and (3) without regard to any other term or condition of such coverage (other than exclusion or coordination of benefits, or an affiliation or waiting period, permitted under specified provisions of the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), or the Internal Revenue Code). Requires such coverage in a manner so that, if the emergency services are provided by a nonparticipating health care provider: (1) the participant, beneficiary, or enrollee is not liable for amounts exceeding the liability that would be incurred if the services were provided by a participating provider with prior authorization. Prescribes the same coverage for maintenance care or post-stabilization care (subject to certain guidelines) by nonparticipating health care providers. (Sec. 102) Requires a plan or coverage that provides benefits only through participating providers to offer a participant the option to purchase point-of-service coverage for benefits provided by a nonparticipating provider, unless the plan offers the participant a choice of health insurance coverage and one or more coverage options that do not provide benefits only through participating health care providers. (Sec. 103) Requires any plan and issuer to permit each participant, beneficiary, and enrollee to receive: (1) primary care from any participating primary care provider available to accept such individual; and (2) (unless the plan or issuer clearly declares choice limitations) medically necessary or appropriate specialty care, pursuant to appropriate referral procedures, from any qualified participating provider available to accept such individual for such care. (Sec. 104) Requires any plan or issuer that requires or provides for designation of a participating primary care provider to permit: (1) a female participant, beneficiary, or enrollee to designate a participating physician who specializes in obstetrics and gynecology as the individual's primary care provider; and (2) designation of a pediatrician as a child's primary provider. Prohibits the plan or issuer, in the absence of such a designation, from requiring authorization or a referral by the individual's primary care provider or otherwise for coverage of routine gynecological care (such as preventive women's health examinations) and pregnancy-related services provided by a participating specialist in obstetrics and gynecology to the extent such care is otherwise covered. Permits a plan or issuer to treat the ordering of other gynecological care by such a participating health professional as the primary care provider's authorization of such care. Requires the plan or issuer to refer to an available and accessible specialist any participant, beneficiary, or enrollee with a condition or disease of sufficient seriousness and complexity to require treatment by a specialist, if benefits for such treatment are covered. Requires a plan or issuer to refer an individual to a nonparticipating specialist only: (1) if a participating specialist is not available and accessible; and (2) at no additional cost to the individual. Requires a plan or issuer to have a procedure by which an individual with an ongoing special condition (life-threatening, degenerative, or disabling) may be referred to a specialist who shall be responsible for and capable of providing and coordinating the individual's primary and specialty care, without referral from the individual's primary care provider. Requires standing referrals to a specialist for any condition requiring ongoing specialist care. (Sec. 105) Prescribes requirements for continuity of care for participants, beneficiaries, or enrollees in the event of a termination of a health care provider or of the contract between a plan and an issuer. (Sec. 106) Prescribes requirements for participation in approved clinical trials of individuals with life-threatening or serious illnesses for which no standard treatment is effective. Prohibits denial of participation in such trials, or discrimination against participants. Limits plan or issuer payments to routine patient costs. (Sec. 107) Requires any plan or issuer that provides prescription drug benefits limited to drugs included in a formulary to: (1) ensure participation of participating physicians and pharmacists in the development of the formulary; (2) disclose to providers, and upon request to participants, beneficiaries, and enrollees, the nature of the formulary restrictions; and (3) consistent with the standards for a utilization review program, provide for exceptions from the formulary limitation when a non-formulary alternative is medically indicated. Prohibits a plan or issuer from denying coverage of such a drug or device on the basis that the use is investigational, if certain labeling requirements are met. (Sec. 108) Requires each plan and issuer to have (in relation to the coverage) a sufficient number, distribution, and variety of qualified participating providers to ensure that all covered health care services, including specialty services, will be available and accessible in a timely manner to all participants, beneficiaries, and enrollees. Permits inclusion among such providers of federally qualified health centers, rural health clinics, migrant health centers, and other essential community providers located in the service area. Requires inclusion of such providers if necessary to meet such number, distribution, and variety requirements. (Sec. 109) Prescribes nondiscrimination requirements. Subtitle B: Quality Assurance - Directs each plan and issuer to establish an ongoing, internal quality assurance and continuous quality improvement program meeting specified requirements. (Sec. 112) Requires each plan and issuer to: (1) collect uniform quality data, including a minimum uniform data set specified by the Secretary of Health and Human Services; (2) have a written process for the selection of participating health care professionals, including minimum professional requirements; and (3) establish and maintain, as part of any internal quality assurance and continuous quality improvement program including prescription drug benefits, a drug utilization program which encourages appropriate drug use and takes appropriate action to reduce the incidence of improper drug use and adverse drug reactions and interactions. (Sec. 115) Requires each plan and issuer to conduct (or arrange for qualified outside agents to conduct) benefit utilization review activities only in accordance with a utilization review program that meets certain requirements. Prohibits a program from permitting or providing contingent compensation arrangements with its employees, agents, or contractors in a manner that: (1) provides incentives, direct or indirect, for such persons to make inappropriate review decisions; or (2) is based, directly or indirectly, on the quantity or type of adverse determinations rendered. Requires a utilization review program to make determinations and notifications concerning: (1) prior authorization services within three business days after receiving any necessary information; (2) authorization for continued or extended health care services within one business day after receipt of such information; and (3) retrospective review of services previously provided, within 30 days of such receipt. (Sec. 116) Directs the President to establish an advisory board to provide information to Congress and the administration on issues relating to quality monitoring and improvement in the health care provided under group health plans and health insurance coverage. Subtitle C: Patient Information - Specifies benefits, access, emergency coverage, prior authorization, grievance and appeals, and other pertinent information which plans and issuers shall provide to participants and beneficiaries at the time of initial coverage, annually, within a reasonable period before or after the date of significant changes, and upon request. (Sec. 122) Requires plans and issuers to establish procedures to: (1) safeguard the privacy of any individually identifiable enrollee information; (2) maintain records and information in an accurate and timely manner; and (3) assure individuals timely access to such records and information. (Sec. 123) Provides for grants to States for creation and operation of a Health Insurance Ombudsman. Requires any State receiving such a grant to contract for such an Ombudsman with a not-for-profit organization that operates independent of group health plans and health insurance issuers. Requires the Secretary to provide through such a contract for an Ombudsman in any State that does not provide for one. Makes such an Ombudsman responsible to: (1) assist consumers in choosing among health insurance coverage or among coverage options offered within group health plans; and (2) provide counseling and assistance to enrollees dissatisfied with their treatment by issuers and plans, and with respect to grievances and appeals of coverage or plan determinations. Subtitle D: Grievances and Appeals Procedures - Requires each plan and issuer to establish a system for the presentation and resolution of oral and written grievances brought by participants, beneficiaries, or enrollees, or health care providers or other individuals acting on behalf of an individual and with the individual's consent. Requires the system to include grievances regarding access to and availability of services, quality of care, choice and accessibility of providers, network adequacy, and compliance with the requirements of this title. (Sec. 132) Requires each plan and issuer to establish an internal appeals process, and provide for an external appeals process, which meet certain requirements. Specifies the appeal rights of participants, beneficiaries, and their representatives, as well as the kinds of decisions which are appealable. Subtitle E: Protecting the Doctor-Patient Relationship - Prohibits any contract or agreement between a plan or issuer and a health care provider from: (1) prohibiting or restricting the provider from engaging in medical communications with the provider's patient; or (2) containing any provision purporting to transfer to the health care provider by indemnification or otherwise any liability relating to activities, actions, or omissions of the plan, issuer, or agent (as opposed to the provider). Declares null and void any such contract or agreement provisions. (Sec. 142) Prohibits any plan or issuer from operating any physician incentive plan that does not meet certain requirements under title XVIII (Medicare) of the Social Security Act. (Sec. 143) Requires any plan or issuer to establish reasonable procedures relating to the participation of health care professionals, including notice of participation rules, written notice of adverse participation decisions, and a process for appealing adverse decisions. (Sec. 144) Prohibits a plan or an issuer from retaliating against a participant, beneficiary, enrollee, or health care provider based on use of, or participation in, a utilization review or a grievance process. Prohibits a plan or an issuer from retaliating or discriminating against a protected health care professional because the professional in good faith: (1) discloses information relating to the care, services, or conditions affecting one or more participants, beneficiaries, or enrollees to an appropriate public regulatory agency, private accreditation body, or management personnel of the plan or issuer; or (2) initiates, cooperates, or otherwise participates in an investigation or proceeding by such an agency with respect to such care, services, or conditions. Defines good faith action. Subtitle F: Promoting Good Medical Practice - Prohibits a plan or issuer from arbitrarily interfering with or altering the decision of the treating physician regarding the manner or setting in which particular covered services are delivered (including the number of days in a hospital) if they are medically necessary or appropriate for treatment or diagnosis. Allows a plan or issuer to limit the delivery of services to one or more providers within a network. (Sec. 152) Requires a plan or issuer that provides medical and surgical benefits to provide inpatient coverage following a mastectomy, lumpectomy, or lymph node dissection for the treatment of breast cancer for a period of time as is determined by the attending physician, in his or her professional judgment consistent with medical standards, to be medically appropriate. Prohibits a plan or issuer from: (1) denying to a woman eligibility to enroll or renew coverage solely for the purpose of avoiding the requirements of this title; (2) providing monetary payments or rebates to encourage women to accept less than the minimum protections available under this title; (3) penalizing or otherwise reducing or limiting reimbursement because an attending provider gave care to a participant or beneficiary in accordance with this title; (4) providing incentives (monetary or otherwise) to induce an attending provider to provide care to a participant or beneficiary in a manner inconsistent with this title; or (5) restricting benefits (other than imposing deductibles, coinsurance, or other cost-sharing) for any portion of a period within a required hospital length of stay in a manner less favorable than the benefits provided for any preceding portion of such stay. Subtitle G: Definitions - Sets forth definitions. Title II: Application of Patient Protection Standards to Group Health Plans and Health Insurance Coverage Under Public Health Service Act - Amends the Public Health Service Act to require each plan and issuer to comply with the patient protection requirements of this Act. (Sec. 202) Requires each health insurance issuer to comply with such requirements with respect to individual health insurance coverage. Title III: Amendments to the Employee Retirement Income Security Act of 1974 - Amends ERISA to require each plan and issuer to comply with the patient protection requirements of this Act. (Sec. 302) Provides that nothing in ERISA shall be construed to invalidate, impair, or supersede any cause of action under State law to recover damages resulting from personal injury or wrongful death against any person (except employers and other plan sponsors): (1) in connection with the provision of insurance, administrative services, or medical services by that person to or for a group health plan; or (2) that arises out of the arrangement by that person for the provision of insurance, administrative services, or medical services by other persons. Allows such an action against an employer or other plan sponsor (or against an employee of such an employer or sponsor acting within the scope of employment) only if it is based on the employer's or sponsor's exercise of discretionary authority to decide a claim for covered benefits, and such exercise resulted in personal injury or wrongful death. Title IV: Application to Group Health Plans Under the Internal Revenue Code of 1986 - Amends the Internal Revenue Code to require a group health plan to comply with the requirements of this Act. Title V: Effective Dates; Coordination in Implementation - Sets forth effective dates for provisions of this Act. (Sec. 502) Amends the Health Insurance Portability and Accountability Act of 1996 to provide for coordination in the implementation of this Act.
Bill· SS. 1327 (106th)open
United States · United States Congress · 1 July 1999
Foster Care independence Act of 1999 - Title I: Improved Independent Living Program - Subtitle A: Improved Independent Living Program - Amends title IV (Grants for Dependent Children) Part E (Foster Care and Adoption Assistance) of the Social Security Act (SSA) to prescribe State plan contents pursuant to which a State may apply for funds from its allotment to establish an independent living program providing education, training, employment services and financial support for young adults leaving foster care. (Sec. 101) Directs the Secretary of Health and Human Services to develop performance measures and a data collection system. Authorizes appropriations. Subtitle B: Related Foster Care Provision - Increases the amount of assets allowable for children in foster care. Subtitle C: Medicaid Amendments - Grants States the option of providing Medicaid coverage for adolescents leaving foster care (independent foster care adolescents). Subtitle D: Welfare-To-Work Amendments - Makes children aging out of foster care eligible for welfare-to-work programs. Title II: SSI Fraud Prevention - Subtitle A: Fraud Prevention and Related Provisions - Amends SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) and title XVI (Supplemental Security Income) (SSI) to subject representative payees to liability for overpayments made after a recipient's demise. Instructs the Commissioner of Social Security (the Commissioner) to establish an overpayment control record under the representative payee's Social Security account number. (Sec. 202) Provides for recovery of overpayments of SSI benefits from lump sum SSI benefit payments. (Sec. 203) Authorizes the Commissioner to employ certain statutory debt collection practices to collect delinquent accounts. (Sec. 205) Sets forth additional rules relating to collection of overpayments from individuals convicted of crimes, including: (1) a ten-year period of ineligibility for persons failing to notify the Commissioner of overpayments in months in which the beneficiary is a prisoner or a fugitive, or fails to comply with a repayment schedule for such overpayments; and (2) continued collection efforts against prisoners. (Sec. 206) Sets forth a statutory mechanism for the treatment of assets held in trust in order to determine the resources of an individual in connection with SSI eligibility. Deems the corpus of a revocable trust established by an individual as a resource available to such individual. (Sec. 207) Revises guidelines governing criteria to deny SSI eligibility in connection with disposal of resources for less than fair market value. (Sec. 208) Prescribes administrative procedures for: (1) imposing penalties for false or misleading statements; and (2) excluding representatives and health care providers convicted of violations from participation in Social Security programs. (Sec. 211) Directs the Commissioner to: (1) study and report to certain congressional committees on possible measures to improve fraud prevention and administrative processing; (2) include in the annual budget an itemization of the amount of funds required to support efforts to combat fraud committed by applicants and beneficiaries; and (3) conduct periodic computer matches with Medicare and Medicaid institutionalization data. (Sec. 214) Authorizes the Commissioner to require applicants or beneficiaries to authorize access to information held by their financial institutions in order to ascertain benefits eligibility. Subtitle B: Benefits for Certain Veterans of World War II - Adds a new SSA title VIII (Special Benefits for Certain World War II Veterans) to provide monthly benefits for each month to certain qualified World War II veterans who reside outside the United States, including veterans of the organized military and guerrilla forces of the Government of the Commonwealth of the Philippines. Makes appropriations for such benefits. Title III: Child Support - Amends SSA title IV part D (Child Support and Establishment of Paternity) to repeal: (1) authority for the 90 percent Federal matching grant to the States for laboratory costs for paternity establishment; and (2) the hold harmless provision for State share of distribution of collected child support. Title IV: Technical Corrections - Sets for technical corrections relating to amendments to the Social Security Act made by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996.
Bill· SS. 1335 (106th)referred
United States · United States Congress · 1 July 1999
Amends the Social Security Act to authorize the Secretaries of Health and Human Services and Defense (administering Secretaries) to expand and extend the Medicare subvention demonstration project for military retirees (a project providing reimbursement to the Secretary of Defense for Medicare health care services furnished to Medicare-eligible military retirees through the Department of Defense) if the administering Secretaries determine that: (1) such expansion and extension would be beneficial to such retirees and their dependents; and (2) project requirements are being met and will continue to be met if the project is expanded and extended. Requires the determination of such expansion and extension to be made between July 1, 1999, and January 1, 2000. Provides expansion rules and allows the administering Secretaries to extend the project by one or two years. Requires: (1) revision of the original operating agreement to reflect such expansion and extension, including an increase in the maximum reimbursement amount under the project; and (2) continued project evaluations and reports by the Comptroller General. Directs the administering Secretaries to provide retirees and dependents participating in the project with information regarding the applicable statutory protections for individuals who no longer participate in the project. Extends until January 1, 2001, the required date for the submission of a report from the administering Secretaries to Congress regarding the extension and expansion of the project.
Bill· SS. 1322 (106th)referred
United States · United States Congress · 1 July 1999
Genetic Nondiscrimination in Health Insurance and Employment Act of 1999 - Title I: Prohibition of Health Insurance Discrimination on the Basis of Predictive Genetic Information - Amends the Employee Retirement Income Security Act of 1974 (ERISA) (regarding a group health plan, and a health insurance issuer offering group insurance through a group plan) the Public Health Service Act (PHSA) (regarding such a plan or issuer, and with regard to an issuer offering health insurance in the individual market), the Internal Revenue Code (IRC) (regarding a group health plan), and title XVIII (Medicare) of the Social Security Act (SSA) (regarding Medicare supplemental policies) to prohibit, with respect to genetic information: (1) discriminating in individual enrollment; (2) discriminating in group eligibility or group premium or contribution rates; (3) requesting or requiring test performance; and (4) requesting, requiring, collecting, purchasing, or disclosing information, unless authorized by the individual. Allows a plan or issuer: (1) regarding payment for genetic services, to request evidence that the services were performed; and (2) regarding payment for other benefits, to request predictive genetic information in certain circumstances. Allows a court, for violations, to award any appropriate legal or equitable relief, attorney's fees and costs, and expert witness costs. Allows civil monetary penalties. Applies the requirements of this paragraph to plans that have fewer than two participants who are current employees. Amends ERISA and the PHSA to: (1) declare that the provisions of paragraph above do not preempt any provision of State law that protects genetic information confidentiality or privacy, or prohibits genetic discrimination, more completely than ERISA's and the PHSA's group health plan provisions; and (2) apply the requirements of the paragraph above to Medicare supplemental health insurance and similar supplemental coverage, if provided under a separate policy, certificate, or contract of insurance. Amends the PHSA to disallow nonfederal governmental group plans from electing to be exempted from the requirements of this title. Title II: Prohibition of Employment Discrimination on the Basis of Predictive Genetic Information - Makes it an unlawful employment practice for an employer, employment agency, labor organization, or training program to discriminate because of predictive genetic information, including making it unlawful to request, require, collect, or purchase such information. Allows an employer to request, require, collect, or purchase such information: (1) where used for genetic monitoring of biological effects of workplace toxic substances; or (2) with consent of the employee, if results are received only by the employee (or the employee's family). (Sec. 206) Requires employers possessing such information to treat and maintain the information as part of the employee's confidential medical records. Prohibits disclosure, subject to exception. (Sec. 207) Empowers one or more employees, labor organization members, or training participants to bring an action in Federal or State court for violations. Applies to the Equal Employment Opportunity Commission (EEOC), for enforcement of this title, the powers, remedies, and procedures under specified provisions of the Civil Rights Act of 1964. Allows a court to award any appropriate legal or equitable relief, attorney's fees and costs, and costs of experts. (Sec. 209) Authorizes appropriations to carry out this title.
Bill· HRH.R. 2455 (106th)referred
United States · United States Congress · 1 July 1999
Consumer Health and Research Technology (CHART) Protection Act - Title I: Restrictions on Use and Disclosure - Prohibits the following, subject to specified exceptions, with respect to individually identifiable health information: (1) disclosure in absence of, or inconsistent with, authorization; (2) failure to provide for reasonable protections against prohibited disclosures; (3) failure to implement written compliance policies; (4) failure to enter into written agreement with business associates respecting compliance; (5) noncomplying research disclosures; (6) use of anonymized information; (7) disclosure in a civil or criminal proceeding; (8) sale or commercial publication; and (9) fraud or misrepresentation. (Sec. 102) Sets forth use and disclosure rules for: (1) anonymized information; (2) civil and criminal proceedings; (3) archival research; and (4) general authorization of information disclosure. Title II: Individuals' Rights - Requires a health organization, insurer, employer, or school, with specified exceptions, to permit an individual or designee to inspect and copy his or her individually identifiable health information, subject to other laws limiting or prohibiting such disclosure. Sets forth disclosure conditions, including confidentiality practices. Title III: Enforcement - Sets forth criminal penalties for obtaining, using, or disclosing individually identifiable health information in violation of this Act. (Sec. 302) Provides an aggrieved individual with a private right of civil action. (Sec. 303) Amends the Social Security Act to exclude an individual or entity from participation in Federal and State health care programs for failure to comply with this Act. Amends Federal law to exclude a provider from participation in the Federal employees health benefits program for failure to comply with this Act. Title IV: General Provisions - Directs the National Committee on Vital and Health Statistics to promulgate standards for electronic disclosure of individually identifiable health information. (Sec. 402) Authorizes an individual's legal representative to act on his or her behalf under this Act.
Bill· HRH.R. 2457 (106th)open
United States · United States Congress · 1 July 1999
Genetic Nondiscrimination in Health Insurance and Employment Act of 1999 - Title I: Prohibition of Health Insurance Discrimination on the Basis of Predictive Genetic Information - Amends the Employee Retirement Income Security Act of 1974 (ERISA) (regarding a group health plan, and a health insurance issuer offering group insurance through a group plan), the Public Health Service Act (PHSA) (regarding such a plan or issuer, and with regard to an issuer offering health insurance in the individual market), the Internal Revenue code (IRC) (regarding a group health plan), and title XVIII (Medicare) of the Social Security Act (SSA) (regarding Medicare supplemental policies) to prohibit, with respect to genetic information: (1) discriminating in individual enrollment; (2) discriminating in group eligibility or group premium or contribution rates; (3) requesting or requiring test performance; and (4) requesting, requiring, collecting, purchasing, or disclosing information, unless authorized by the individual. Allows a plan or issuer: (1) regarding payment for genetic services, to request evidence that the services were performed; and (2) regarding payment for other benefits, to request predictive genetic information in certain circumstances. Allows a court, for violations, to award any appropriate legal or equitable relief, attorney's fees and costs, and expert witness costs. Allows civil monetary penalties. Applies the requirements of this paragraph to plans that have fewer than two participants who are current employees. Amends ERISA and the PHSA to: (1) declare that the provisions of paragraph above do not preempt any provision of State law that protects genetic information confidentiality or privacy, or prohibits genetic discrimination, more completely than ERISA's and the PHSA's group health plan provisions; and (2) apply the requirements of the paragraph above to Medicare supplemental health insurance and similar supplemental coverage, if provided under a separate policy, certificate, or contract of insurance. Amends the IRC to apply the requirements of this title to apply the requirements of this title to any governmental plan. Title II: Prohibition of Employment Discrimination on the Basis of Predictive Genetic Information - Makes it an unlawful employment practice for an employer, employment agency, labor organization, or training program to discriminate because of predictive genetic information, including making it unlawful to request, require, collect, or purchase such information. Allows an employer to request, require, collect, or purchase such information: (1) where used for genetic monitoring of biological effects of workplace toxic substances; or (2) with consent of the employee, if results are received only by the employee (or the employee's family). (Sec. 206) Requires employers possessing such information to treat and maintain the information as part of the employee's confidential medical records. Prohibits disclosure, subject to exception. (Sec. 207) Empowers one or more employees, labor organization members, or training participants to bring an action in Federal or State court for violations. Applies to the Equal Employment Opportunity Commission (EEOC), for enforcement of this title, the powers, remedies, and procedures under specified provisions of the Civil Rights Act of 1964. Allows a court to award any appropriate legal or equitable relief, attorney's fees and costs, and costs of experts. (Sec. 209) Authorizes appropriations to carry out this title.
Bill· HRH.R. 2418 (106th)referred
United States · United States Congress · 1 July 1999
Organ Procurement and Transplantation Network Amendments of 1999 - Declares that Congress: (1) recognizes the generous contribution made by each living individual who has donated an organ to save a life; and (2) acknowledges the advances in medical technology that have enabled organ transplantation with organs donated by living individuals to become a viable treatment option for an increasing number of patients. Amends the Public Health Service Act to revise and extend programs relating to organ procurement and transplantation, among other changes requiring the Organ Procurement and Transportation Network to: (1) carry out studies and demonstration projects to improve procedures for organ procurement and allocation; and (2) develop a peer review system to assure that members of the Network comply with appropriate medical and other specified criteria. Mandates that the Secretary of Health and Human Services establish additional procedures for providing oversight of, and public accountability for, operation of the Network. Authorizes the Secretary to award grants or contracts for: (1) payment of travel and subsistence expenses incurred toward living organ donation; and (2) studies and demonstration projects. Directs the Secretary to carry out a program to educate the public about organ donation. Authorizes appropriations.
Bill· HRH.R. 2445 (106th)referred
United States · United States Congress · 1 July 1999
Mental Health Parity Enhancement Act of 1999 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), Public Health Service Act, and the Internal Revenue Code to specify that mental health parity provisions apply to annual and lifetime visit or benefit limits, as well as to dollar limits set by health plans.
Bill· HRH.R. 2447 (106th)referred
United States · United States Congress · 1 July 1999
Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to provide for the inclusion of the costs of Department of Veterans Affairs and Department of Defense military facility services furnished to Medicare-eligible beneficiaries in the calculation of Medicare+Choice payment rates.
Bill· HRH.R. 2419 (106th)referred
United States · United States Congress · 1 July 1999
Medicare+Choice Risk Adjustment Amendments of 1999 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to: (1) require that the new risk adjustment methodology for Medicare+Choice payment rates be implemented in a budget neutral manner; and (2) eliminate any further adjustment in the national per capita Medicare+Choice growth percentage.
Resolution· HCONRESH.Con.Res. 149 (106th)open
United States · United States Congress · 1 July 1999
Expresses the sense of Congress that: (1) senior citizens should not be forced to pay a large part of their monthly income for prescription drugs; (2) a top priority for the available budget surplus should be to strengthen and modernize the Medicare program (title XVIII of the Social Security Act) for the future, including adding prescription drug coverage; (3) President Clinton should be commended for introducing a Medicare reform proposal with a prescription drug benefit; and (4) Congress should consider legislation to accomplish this as soon as possible.
Bill· SS. 1310 (106th)open
United States · United States Congress · 30 June 1999
Home Health Equity Act of 1999 - Amends title XVIII (Medicare) of the Social Security Act and the Balanced Budget Act of 1997 to eliminate the 15 percent home health services payment reduction which would occur if the Secretary of Health and Human Services did not establish a prospective payment system (PPS) for such services as provided for in such Act. Provides for: (1) outlier payments to home health agencies (agencies) in spite of applicable per beneficiary payment limits when a provider demonstrates to the Secretary that an individual was furnished appropriate home health services at a reasonable cost that significantly exceeded such applicable per beneficiary limit because of certain conditions; and (2) recoupment of overpayments by the Secretary to agencies over a 36-month period as specified. Makes various Medicare amendments under reasonable cost provisions with regard to an increase in payment amounts to agencies with limits under the national average and an increase in the per visit limit for cost reporting periods beginning on or after October 1, 1999, with regard to the amount of payments that may be made under Medicare for services furnished by agencies. Eliminates timekeeping requirements under the prospective payment system for home health services. Provides for periodic interim payment for certain agencies under Medicare provisions regarding payment to service providers. Revises surety bond requirements for agencies. Excludes additional Medicare part B (Supplementary Medical Insurance) costs from determination of the Medicare part B premium.
Bill· HRH.R. 2404 (106th)referred
United States · United States Congress · 30 June 1999
Personal Medical Information Protection Act of 1999 - Title I: Individual's Rights - Subtitle A: Review of Protected Health Information by Subjects of the Information - Grants to individuals who are the subject of protected health information, or to the individual's designee, the right to inspect and copy such information. Provides for: (1) procedures and fees; (2) a special rule relating to ongoing clinical trials; (3) amendment of protected health information; (4) rules governing agents; and (5) notice of confidentiality practices. Subtitle B: Establishment of Safeguards - Mandates safeguards to protect the confidentiality, security, accuracy, and integrity of protected health information created, received, obtained, maintained, used, transmitted, or disposed of by a health care provider, health plan, health oversight agency, public health authority, employer, health or life insurer, health researcher, law enforcement official, school, or university (entity). Recommends encryption technology with regard to computer database medical record protection against unauthorized disclosure of protected health information. Details disclosure recordkeeping requirements. Title II: Restrictions on Use and Disclosure - Sets forth general rules regarding use and authorized disclosure of protected health information, including rules on such use or disclosure of protected health information within an entity. (Sec. 202) Details requirements for employers, health plans, and providers in obtaining a signed, written authorization meeting specified requirements concerning the use and disclosure of protected health information for treatment, payment, and health care operations with respect to employer and group health plan enrollees and the uninsured, respectively. Allows, generally, for revocation of authorizations, and mandates recordkeeping of individual authorizations and revocations. (Sec. 203) Provides for similar written authorizations for disclosure of protected health information other than for treatment, payment, or health care operations. Permits an individual to revoke or amend an authorization. Sets out requirements for release of protected health information to coroners and medical examiners. States that a recipient of information pursuant to an authorization may use or disclose such information solely to carry out the purpose for which the information was authorized for release. Directs the Secretary of Health and Human Services (HHS) to develop and disseminate model written authorizations. (Sec. 204) Outlines requirements governing information disclosure to next of kin, as well as disclosure of certain directory information. (Sec. 205) Authorizes any person who creates or receives protected health information under this title to disclose such information in emergency circumstances when necessary to protect the health or safety of the individual who is the subject of such information from serious, imminent harm. (Sec. 206) Allows, generally, any person to disclose protected health information to an accrediting body or public health authority, a health oversight agency, or a State insurance department, for purposes of an oversight function authorized by law. (Sec. 207) Outlines the rules governing authorized entity disclosures with regard to public health, health research, civil, judicial, and administrative procedures, and law enforcement purposes. (Sec. 208) Directs the Secretary to: (1) review the requirements of the common rule (the Federal agency policy for the protection of human subjects from research risks) pertaining to the privacy of protected health information, and promulgate any necessary amendments; (2) submit to Congress recommendations on standards with respect to the privacy of individually identifiable health information in certain research; and (3) promulgate final regulations containing such standards if appropriate legislation governing them is not enacted. (Sec. 211) Provides that if an individual pays for health care by presenting a debit, credit, or other payment card or account number, or by any other electronic payment means, the entity receiving payment may disclose to transaction personnel only such protected health information about the individual as is necessary for payment processing, billing, or collecting amounts paid by electronic means. (Sec. 212) Directs the Secretary to promulgate standards for disclosing, authorizing, and authenticating protected health information in electronic form consistent with this title. (Sec. 213) Specifies guidelines for agents of protected individuals (including health care powers of attorney) and for executors of the estates of deceased individuals. Applies this Act to protected health information concerning a deceased individual for two years following death. (Sec. 214) Provides limited liability for Federal and State law enforcement officers for violations of this Act. (Sec. 215) Shields from common law liability to the protected individual an entity that makes permissible disclosures under this Act. Title III: Sanctions - Subtitle A: Criminal Provisions - Amends the Federal criminal code to establish criminal penalties for the knowing and intentional wrongful disclosure of protected health information in violation of title II of this Act. Subtitle B: Civil Sanctions - Establishes civil money penalties for health care providers, health researchers, health plans, health oversight agencies, public health agencies, law enforcement agencies, employers, health or life insurers, schools, or universities, or the agent of any such individual or entity, who the Secretary determines has substantially and materially failed to comply with this Act. Outlines procedures for imposition of such penalties, and provides for judicial review. Allows the Secretary to bring an action to seek injunctive relief to prevent any activities which subject a person to a civil monetary penalty. (Sec. 313) Allows individuals whose rights under this Act have been knowingly or negligently violated to bring a civil action for damages and appropriate relief. (Sec. 314) Directs the Secretary to develop alternative dispute resolution procedures, including mediation and arbitration, to resolve civil claims, possibly even before the individual brings a civil action. Title IV: Miscellaneous - Sets forth: (1) the relationship of this Act to other Federal and State laws, including the Privacy Act of 1974, and regulations relating to protected health information or to an individual's access to it; and (2) mandatory outreach efforts, including downloadable availability on the HHS website, to explain this Act and resulting final regulations.
Bill· HRH.R. 2407 (106th)referred
United States · United States Congress · 30 June 1999
Amends the Toxic Substances Control Act to prohibit the Administrator of the Environmental Protection Agency from approving the construction of a facility for the disposal of polychlorinated biphenyls (PCBs) unless the construction is in the public interest and the facility's design, location, and operation will protect public health and the environment. Allows any person to file a petition with a court of appeals for review of such approval. Applies to approval of a PCB disposal facility Solid Waste Disposal Act requirements of public notice and participation for issuance of a permit regarding a hazardous waste treatment, storage, or disposal facility. Prohibits approval of construction of a PCB disposal facility unless the owner or operator provides the Administrator (and the Administrator makes publicly available) a complete violations record.
Bill· HRH.R. 2399 (106th)referred
United States · United States Congress · 30 June 1999
National Commission for the New National Goal: The Advancement of Global Health Act - Establishes the National Commission for the New National Goal: The Advancement of Global Health to: (1) recommend a national strategy for coordinating governmental, academic, and public and private health care entities for the purpose of the global eradication of disease; and (2) address how the United States may assist in the global control of infectious diseases through the development of vaccines and the sharing of health research information on the Internet. Authorizes appropriations to the National Institutes of Health to carry out activities with the Commission, the National Science Foundation, and other appropriate groups for the transfer of health research information on the Internet and the transfer of the benefits of the infectious disease vaccine development program.
Bill· HRH.R. 2391 (106th)referred
United States · United States Congress · 30 June 1999
National Center for Research on Domestic Health Disparities Act - Amends title IV (National Research Institutes) of the Public Health Service Act (PHSA), as amended by the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 1999, to establish, as another agency of the National Institutes of Health, a National Center for Research on Domestic Health Disparities to conduct and support basic and clinical research, training, and dissemination of health information, and other programs with respect to minority health. Directs the Director of the Center to assist in the administration of certain PHSA clinical research requirements with respect to the inclusion of minority groups as clinical research subjects. Directs the Secretary of Health and Human Services to establish an advisory council to assist the Director. Authorizes appropriations.
Bill· HRH.R. 2405 (106th)referred
United States · United States Congress · 30 June 1999
Comprehensive HIV Prevention Act of 1999 - Title I: General Programs Regarding Prevention of HIV Infection - Amends the Public Health Service Act to replace title XXV (Prevention of Acquired Immune Deficiency Syndrome) with a new title (Prevention of HIV Infection). (Sec. 101) Directs the Secretary of Health and Human Services to plan, coordinate, and evaluate human immunodeficiency virus (HIV) infection prevention activities of the Centers for Disease Control and Prevention (CDCP), the Health Resources and Services Administration, the Indian Health Service, the National Institutes of Health (NIH), the Substance Abuse and Mental Health Services Administration (designated agencies), and other specified agencies and offices. Directs the Secretary to establish the Secretary's Advisory Council on HIV Prevention. Mandates, for each designated agency, a comprehensive plan and certain implementation activities regarding the conduct and support of all HIV prevention activities. Requires annual budget requests by the Secretary and each designated agency. (Sec. 102) Requires each designated agency (except NIH) to establish an office to carry out HIV prevention activities. (Sec. 103) Requires that the remainder of this title be carried out through the CDCP. Authorizes HIV epidemiology and surveillance activities. Authorizes appropriations. Authorizes financial assistance to health departments of States and subdivisions for HIV prevention projects in communities of at-risk individuals. Mandates local and statewide HIV community planning groups. Allows use of assistance for: (1) certain counseling and testing; and (2) counseling for any victim of a crime involving force or the threat of force to compel sexual activity. Authorizes appropriations. Authorizes the Secretary, directly or through financial assistance, to carry out HIV public education. Authorizes appropriations. Authorizes HIV prevention activities regarding specific populations identified by the Secretary, including minority groups and adolescents through school-based programs. Authorizes appropriations. Authorizes, directly or through financial assistance, the conduct of HIV prevention research and the carrying out of demonstration projects. Authorizes appropriations. Authorizes, directly or through financial assistance, HIV prevention activities in addition to those specified above in this Act. Authorizes appropriations. Title II: Preventive Health Programs Regarding Women and HIV Infection - Women and HIV Outreach and Prevention Act - Amends Public Health Service Act provisions (as amended by title I of this Act) relating to the CDCP to authorize grants, with regard to women (and their partners) and HIV, for preventive health services, referrals, follow-ups, outreach, and training on the effective provision of such services. Authorizes appropriations. (Sec. 202) Authorizes grants to provide HIV prevention education to women. Authorizes appropriations. Authorizes grants, cooperative agreements, and contracts to provide: (1) substance abuse treatment to women; (2) counseling to women who engage in substance abuse on the prevention of infection with, and the transmission of, the etiologic agent for AIDS; and (3) such counseling to women who are the partners of individuals who abuse substances. Authorizes appropriations. (Sec. 203) Authorizes appropriations for grants under existing provisions to provide early intervention services for women and related technical assistance. Title III: General Provisions - Authorizes technical assistance to applicants and recipients under provisions of this Act relating to the CDCP, subject to certain requirements for States regarding partner counseling and referrals and epidemiological activities. Authorizes grants for State programs for partner counseling and referral. Authorizes appropriations.
Resolution· HRESH.Res. 237 (106th)referred
United States · United States Congress · 30 June 1999
Recognizes: (1) the severity of the issue of fibromyalgia; (2) the leadership of the Arthritis Foundation, the Centers for Disease Control and Prevention, and the States in developing the National Arthritis Action Plan which includes strategies to address fibromyalgia; (3) the importance of committing resources to such Plan; (4) the importance of scientific research in determining the cause (or causes) and effective treatments; and (5) the importance of committing resources to the Arthritis Foundation, the National Institute of Arthritis and Musculoskeletal and Skin Diseases, and other relevant Federal research institutions to help pinpoint the cause (or causes) and to find a cure. Calls on the United States to support individuals affected by fibromyalgia through public awareness and education.
Bill· SS. 1302 (106th)referred
United States · United States Congress · 29 June 1999
Amends title XIX (Medicaid) of the Social Security Act to increase the State Medicaid disproportionate share hospital (DSH) payment adjustment allotments for Minnesota (from $16 to $33 million), New Mexico (from $5 to $9 million), and Wyoming (from zero to $0.1 million) for FY 2000 through 2002.
Bill· HRH.R. 2375 (106th)referred
United States · United States Congress · 29 June 1999
Senior Prescription Drug Assistance Expansion Demonstration Act of 1999 - Directs the Secretary of Health and Human Services to provide for a two-year demonstration project for qualified States to expand eligibility under existing State low-income senior prescription drug assistance programs. Authorizes appropriations.
Bill· HRH.R. 2369 (106th)referred
United States · United States Congress · 29 June 1999
Medicare Diabetic Foot Ulcer Care Improvement and Savings Act of 1999 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of certain biologicals used in treating lower extremity ulcers in patients with diabetes.
Bill· HRH.R. 2370 (106th)referred
United States · United States Congress · 29 June 1999
Domestic Violence Employment Security Act of 1999 - Amends the Internal Revenue Code to prohibit denying an individual State unemployment compensation solely on the basis of leaving employment due to reasonable fear of domestic violence. Requires, in making a determination as to the reasonableness of an individual's fear, the State to consider factors it considers appropriate such as whether there were any alternatives available to the individual besides leaving such individual's employment and whether such individual was advised by a law enforcement officer or health care professional to leave such individual's employment.
Bill· SS. 1283 (106th)open
United States · United States Congress · 24 June 1999
District of Columbia Appropriations Act, 2000 - Makes appropriations for the District of Columbia for FY 2000, including amounts for: (1) the Federal payment to the District of Columbia Corrections Trustee Operations; (2) the Federal payment to the District of Columbia courts; (3) the Federal payment to the Court Services and Offender Supervision Agency for the District of Columbia; (4) the Federal payment for District of Columbia Resident Tuition Support; and (5) the Federal payment to the Metropolitan Police Department. Appropriates specified sums out of the District's general fund (and other funds, in some cases) for the current fiscal year for: (1) governmental direction and support; (2) economic development and regulation; (3) public safety and justice; (4) the public education system; (5) human support services; (6) public works; (7) receivership programs; (8) workforce investments; (9) a reserve to be established by the Chief Financial Officer of the District and the District of Columbia Financial Responsibility and Management Assistance Authority (Authority); (10) the Authority itself; (11) repayment of certain loans and interest; (12) repayment of General Fund Recovery Debt; (13) payment of interest on short-term borrowing; (14) lease payments in accordance with the Certificates of Participation involving the land site underlying the building located at One Judiciary Square; and (15) optical and dental insurance payments. Directs the Chief Financial Officer to: (1) finance projects totaling $20 million in local funds (Productivity Bank) that result in cost savings or additional revenues by a amount equal to such financing; (2) make reductions totaling $20 million in local funds to be allocated to projects funded through the Productivity Bank that produce such cost savings or additional revenues; and (3) make reductions of specified amounts for general supply schedule savings and for management reform savings, in local funds to one or more of the appropriation headings in this Act (if the Mayor proposes and the Council approves the management reform savings). Appropriates specified sums for: (1) the Water and Sewer Authority and the Washington Aqueduct; (2) the Lottery and Charitable Games Enterprise Fund; (3) the Sports and Entertainment Commission; (4) the D.C. Health and Hospitals Public Benefit Corporation; (5) the D.C. Retirement Board; (6) the Correctional Industries Fund; (7) the Washington Convention Center Enterprise Fund; and (8) capital outlay (including rescissions). Sets forth authorizations as well as limitations and prohibitions on the uses of appropriations under this Act, and directives to the Mayor, the Council, and the Board of Education identical with or similar to those in the District of Columbia Appropriations Act, 1999. (Sec. 129) Prohibits the expenditure of funds appropriated under this Act for abortions except where the mother's life would be endangered if the fetus were carried to term or in cases of rape or incest. (Sec. 130) Bars the use of funds made available by this Act to implement or enforce: (1) the District of Columbia Health Care Benefits Expansion Act of 1992 (also known as the District Domestic Partner Act); or (2) any system of registration of unmarried, cohabiting couples for purposes of extending them benefits on the same basis as such benefits are extended to legally married couples. (Sec. 146) Prohibits the use of funds contained in this Act after April 1, 2000, to transfer or confine inmates classified above the medium security level, as defined by the Federal Bureau of Prisons classification instrument, to the Northeast Ohio Correctional Center located in Youngstown, Ohio. (Sec. 149) Authorizes the Mayor to use specified funds to provide offsets against local taxes for commercial revitalization in empowerment zones and low and moderate income areas.
Bill· SS. 1281 (106th)referred
United States · United States Congress · 24 June 1999
Safe Food Act of 1999 - Establishes in the executive branch an independent Food Safety Administration which shall administer and enforce the food safety laws for the protection of the public health. Directs the Administrator of Food Safety to oversee the: (1) implementation of Federal food safety inspection, enforcement, and research efforts, based on scientifically supportable assessments of risks to public health; (2) development of consistent and science-based standards for safe food; (3) coordination and prioritization of food safety research and education programs with other Federal agencies; (4) coordination of the Federal response to foodborne illness outbreaks with other Federal agencies and State agencies; and (5) integration of Federal food safety activities with State and local agencies. Transfers to the Administration all functions of the following Federal agencies that relate to administration or enforcement of the food safety laws, as determined by the President: (1) the Food Safety and Inspection Service of the Department of Agriculture; (2) the Center for Food Safety and Applied Nutrition of the Food and Drug Administration (FDA); (3) the Center for Veterinary Medicine of FDA; (4) the National Marine Fisheries Service of the National Oceanic and Atmospheric Administration of the Department of Commerce as it relates to the Seafood Inspection Program; and (5) such others as the President may designate by executive order.
Bill· SS. 1277 (106th)referred
United States · United States Congress · 24 June 1999
Safety Net Preservation Act of 1999 - Amends title XIX (Medicaid) of the Social Security Act to establish a new prospective payment system for federally-qualified health centers and rural health clinics.
Bill· SS. 1274 (106th)referred
United States · United States Congress · 24 June 1999
Health Care Access and Equity Act of 1999 - Amends the Internal Revenue Code to: (1) allow for the deduction of 100 percent of the health insurance costs of individuals not covered by an employer-subsidized plan; (2) expand the availability of medical savings accounts; (3) permit the carryover of unused benefits from cafeteria plans, flexible spending arrangements, and health flexible spending accounts; and (4) permit contributions towards a Medical Savings Account through the Federal Employees Health Benefits Program.
Bill· HRH.R. 2360 (106th)referred
United States · United States Congress · 24 June 1999
Amends Federal civil service law to cover under the Federal Employees Health Benefits program any services provided by a licensed or certified chiropractor, an acupuncturist, a massage therapist, a naturopathic physician, or a midwife other than a nurse midwife whose services are currently covered, without supervision or referral by another health practitioner.
Bill· HRH.R. 2361 (106th)referred
United States · United States Congress · 24 June 1999
Medicare Home Health Care Restoration Act of 1999 - Amends title XVIII (Medicare) of the Social Security Act to: (1) repeal the interim system of payments for home health services; (2) restore the amount of the pre-Balanced Budget Act of 1997 (BBA '97) per visit payments that may be made under Medicare with respect to services furnished by home health agencies; (3) eliminate the scheduled 15 percent reduction in payment amounts under the prospective payment system (PPS) for home health services; and (4) provide for various specified repeals of freezes and reductions in home health services-related payment updates. Amends BBA '97 to: (1) eliminate the 15 percent contingent reduction under the PPS for home health services under Medicare; and (2) restore periodic interim payments to home health agencies.
Bill· HRH.R. 2345 (106th)referred
United States · United States Congress · 24 June 1999
Safe Food Act of 1999 - Establishes in the executive branch an independent Food Safety Administration which shall administer and enforce the food safety laws for the protection of the public health. Directs the Administrator of Food Safety to oversee the: (1) implementation of Federal food safety inspection, enforcement, and research efforts, based on scientifically supportable assessments of risks to public health; (2) development of consistent and science-based standards for safe food; (3) coordination and prioritization of food safety research and education programs with other Federal agencies; (4) coordination of the Federal response to foodborne illness outbreaks with other Federal agencies and State agencies; and (5) integration of Federal food safety activities with State and local agencies. Transfers to the Administration all functions of the following Federal agencies that relate to administration or enforcement of the food safety laws, as determined by the President: (1) the Food Safety and Inspection Service of the Department of Agriculture; (2) the Center for Food Safety and Applied Nutrition of the Food and Drug Administration (FDA); (3) the Center for Veterinary Medicine of FDA; (4) the National Marine Fisheries Service of the National Oceanic and Atmospheric Administration of the Department of Commerce as it relates to the Seafood Inspection Program; and (5) such others as the President may designate by executive order.
Bill· HRH.R. 2341 (106th)referred
United States · United States Congress · 24 June 1999
Safety Net Preservation Act of 1999 - Amends title XIX (Medicaid) of the Social Security Act to establish a new prospective payment system for federally-qualified health centers and rural health clinics.
Bill· HRH.R. 2356 (106th)referred
United States · United States Congress · 24 June 1999
Medicare Patient Appeals Act of 1999 - Amends title XVIII (Medicare) of the Social Security Act to: (1) revise Medicare determinations and appeals requirements, providing for deadlines for reconsiderations and appeals under Medicare part A (Hospital Insurance) and for reviews and appeals under Medicare part B (Supplementary Medical Insurance); and (2) eliminate sua sponte motions by the Secretary of Health and Human Services on decisions of the Provider Reimbursement Review Board. Subjects national coverage determinations to review by the Departmental Appeals Board of the Department of Health and Human Services (HHS), and local coverage determinations to review by an HHS administrative law judge, whose determination may also be reviewed by the HHS Departmental Appeals Board.
Bill· HRH.R. 2338 (106th)referred
United States · United States Congress · 24 June 1999
Medicare Coverage Information Decision Act of 1999 - Provides for: (1) meetings with the Secretary of Health and Human Services regarding national coverage determinations with respect to items or services proposed to be covered under the Medicare program under title XVIII of the Social Security Act; and (2) written agreements between the individual seeking particular coverage and the Secretary in order for the Secretary to make a national coverage determination with respect to the items and services for which coverage is requested.
Bill· SS. 1268 (106th)referred
United States · United States Congress · 23 June 1999
Twenty-First Century Research Laboratories Act - Amends the Public Health Service Act with respect to: (1) biomedical and behavioral research facilities, adding congressional reporting requirements about the status of such facilities and the availability and condition of technologically sophisticated laboratory equipment, authorizing appropriations: and (2) construction programs for regional primate research centers, reauthorizing and extending them. Reauthorizes on a permanent basis the Shared Instrumentation Grant Program.
Bill· SS. 1272 (106th)open
United States · United States Congress · 23 June 1999
Pain Relief Promotion Act of 1999 - Title I: Use of Controlled Substances Consistent With the Controlled Substances Act - Amends the Controlled Substances Act to provide that for purposes of such Act, alleviating pain or discomfort in the usual course of professional practice is a legitimate medical purpose for the dispensing, distributing, or administering of a controlled substance consistent with public health and safety even if the use of such a substance may increase the risk of death. Declares that nothing in this Act authorizes intentionally dispensing or administering a controlled substance for purposes of causing death or assisting another person in causing death. Prohibits the Attorney General, in determining whether a controlled substance manufacturer, distributor, or dispenser registration is consistent with the public interest under the Act, from giving force and effect to State law permitting assisted suicide or euthanasia. Authorizes certain educational and research programs carried out by the Attorney General under the Act to include educational and training programs for local, State, and Federal personnel on the necessary and legitimate use of controlled substances in pain management and palliative care and means by which investigation and enforcement actions by law enforcement personnel may accommodate such use. Title II: Promoting Palliative Care - Amends the Public Health Service Act to require the Administrator of the Agency for Health Care Policy and Research to carry out a program to: (1) develop and advance scientific understanding of palliative care; and (2) collect and disseminate protocols and evidence-based practices regarding such care, with priority given to pain management for terminally ill patients, and make such information publicly available. Defines "palliative care" as the active total care of patients whose prognosis is limited due to progressive, far-advanced disease. Authorizes the Secretary of Health and Human Services to award grants, cooperative agreements, and contracts to health professions schools, hospices, and other entities for programs to provide education and training to health care professionals in palliative care. Sets forth requirements for grant applicants. Provides for the evaluation of such programs to determine their effect on knowledge and practice regarding palliative care. Makes funds available for such grants and contracts.
Bill· SS. 1267 (106th)referred
United States · United States Congress · 23 June 1999
Clinical Trials Disclosure Act of 1999 - Requires health care providers, under the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and title XVIII (Medicare) of the Social Security Act, to disclose to their patients any payments or other compensation (referral fees) the provider receives or expects to receive from any entity to which the provider refers a patient to a clinical trial.
Bill· HRH.R. 2333 (106th)referred
United States · United States Congress · 23 June 1999
Amends titles XI and XIX (Medicaid) of the Social Security Act (SSA) to: (1) disregard Medicaid payments for certain Medicare (SSA title XVIII) cost-sharing and for veterans in applying provisions for fiscal year Medicaid payments to Puerto Rico and certain other territories; and (2) remove the limitation on the Federal medical assistance percentage for such cost-sharing and for veterans.
Bill· HRH.R. 2325 (106th)referred
United States · United States Congress · 23 June 1999
Medicare and Medicaid Surety Bond Reform Act of 1999 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to revise requirements for surety bonds of home health agencies, durable medical equipment suppliers, and other providers under the Medicare and Medicaid programs.
Bill· HRH.R. 2326 (106th)referred
United States · United States Congress · 23 June 1999
Human Cloning Research Prohibition Act - Prohibits the expenditure of Federal funds to conduct or support any research on the cloning of humans. Directs the Director of the National Science Foundation to enter into an agreement with the National Research Council for a review of the implementation of this Act. Mandates a report to Congress containing the results of that review, including the conclusions of the National Research Council on: (1) the impact that the implementation of this Act has had on research; and (2) recommendations for any appropriate changes to this Act. States that nothing in this Act shall restrict other areas of scientific research not specifically prohibited by this Act, including important and promising work that involves: (1) the use of somatic cell nuclear transfer or other cloning technologies to clone molecules, DNA, cells other than human embryo cells, or tissues; or (2) the use of somatic cell nuclear transfer techniques to create animals other than humans. Expresses the sense of Congress that other countries should establish substantially equivalent prohibitions.
Bill· HRH.R. 2316 (106th)referred
United States · United States Congress · 23 June 1999
Safe Motherhood Monitoring and Prevention Research Act of 1999 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Centers for Disease Control and Prevention (CDC), to: (1) establish and implement a national monitoring and surveillance program to identify and promote the investigation of deaths and severe complications that occur during pregnancy; (2) expand the Pregnancy Risk Assessment Monitoring System to provide surveillance and collect data in each of the 50 States; (3) expand the Maternal and Child Health Epidemiology Program to provide technical support, financial assistance, or the time-limited assignment of senior epidemiologists to maternal and child health programs in each of the 50 States. Authorizes the Secretary, acting through the CDC, to expand research relating to: (1) encouraging preconception counseling; (2) identifying critical components of prenatal delivery and postpartum care, outreach and support services for pregnant women, and women who are at high risk for complications; (3) preventing preterm delivery, urinary tract infections, and unnecessary caesarean sections; (4) examining the higher rates of maternal mortality among African American women and the relationship between domestic violence and maternal complications and mortality; and (5) preventing substance abuse during and after pregnancy and infections that cause maternal and infant complications. Authorizes the Secretary, acting through the CDC, to carry out activities to promote safe motherhood, including public education campaigns on healthy pregnancies, education programs for health care providers, and activities to promote community support for pregnant women. Authorizes appropriations.
Resolution· HRESH.Res. 220 (106th)referred
United States · United States Congress · 23 June 1999
Women and Heart Disease Awareness Resolution - Declares that the House of Representatives recognizes: (1) the severity of the issue of women and heart disease; (2) the importance of federally funded programs that provide research and collect data on the rate of heart disease among women, according to age, ethnicity, and socioeconomic status; and (3) the importance of the National Heart, Lung and Blood Institute at the National Institutes of Health, and the need for adequate funding to continue research and data collection about women and heart disease, particularly with respect to minority populations. Calls on the people of the United States to take this opportunity to learn about heart disease, its symptoms, and the steps women can take to lower their risk.
Bill· SS. 1263 (106th)referred
United States · United States Congress · 22 June 1999
Hospital Outpatient Preservation Act of 1999 - Amends the Balanced Budget Act of 1997 (BBA '97) to limit temporarily the reductions in Federal payments under the Medicare prospective payment system (PPS) for hospital outpatient department services under title XVIII (Medicare) of the Social Security Act. Provides for the retroactive effectiveness of this Act as if included in B.B.A. '97.
Bill· HRH.R. 2309 (106th)referred
United States · United States Congress · 22 June 1999
Independent Medical Review Act of 1999 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to require group health plans and health insurance issuers to provide for independent review of adverse coverage determinations. Requires group health plan claims procedures to include procedures for a fair, de novo determination of medical necessity by the independent review organization without regard to the definition used by the plan, as well as notifications to participants or beneficiaries of their rights to: (1) appeal adverse determinations to utilization review agents of the plan; (2) appeal adverse determinations of such utilization review agents to independent review organizations (with procedures for such appeal); and (3) obtain immediate review by an independent review organization in cases of life-threatening conditions (with procedures for obtaining such review). Sets forth requirements for: (1) procedures for appeals of adverse decisions to the plan's utilization review agent; (2) the independent review process; and (3) certification of independent review organizations by the Secretary of Labor. Treats the independent review organization's determination as the final decision of the plan, but allows a court to vacate or modify such determination under certain circumstances.