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301 records in US in 2000
United States · United States Congress · 18 July 2000
Hospital Indigent Care Relief Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to increase the percent of hospital bad debt that is reimbursable under the Medicare program.
United States · United States Congress · 18 July 2000
Prescription Drug Fairness Act - Amends the Clayton Act to deem: (1) the sale of a prescription drug by a manufacturer outside the United States to be the sale of such drug within the United States for purposes of provisions prohibiting price discrimination; and (2) discrimination in price between wholesalers within the United States and wholesalers outside the United States substantially to injure, destroy, or prevent competition with any person who either grants or knowingly receives the benefit of such discrimination, or with customers of either of them.
United States · United States Congress · 17 July 2000
Pediatric Diabetes Research and Prevention Act - Amends the Public Health Service Act to direct the Secretary of Health and Human services, acting through the Director of the Centers for Disease Control and Prevention, to develop a system to collect data on type 1 diabetes (or juvenile diabetes), including information with respect to incidence and prevalence, and to establish a national registry for such data. Authorizes appropriations Provides for the conduct or support of long-term epidemiology studies in which individuals with type 1 diabetes (or juvenile diabetes) are followed for 10 years or more. Authorizes appropriations.
United States · United States Congress · 17 July 2000
Veterans Claims Assistance Act of 2000 - Amends Federal veterans benefits provisions to require the Secretary of Veterans Affairs to take specified steps to assist claimants. Requires the Secretary: (1) to notify a claimant whose application is incomplete of the evidence necessary to complete the application (existing law), including the information and medical and lay evidence necessary to substantiate the claim and, as part of such notice, to indicate which portion of such evidence is to be provided by the claimant and which portion the Secretary will attempt to obtain on behalf of the claimant; (2) to make reasonable efforts to assist in obtaining evidence necessary to establish a claimant's eligibility for a benefit (but allows the Secretary to decide a claim without providing such assistance when no reasonable possibility exists that such assistance will aid in the establishment of eligibility) and to obtain relevant records that the claimant adequately identifies to the Secretary and authorizes the Secretary to obtain; and (3) to inform the claimant whenever the Secretary is unable to obtain such records and to request the claimant to notify the Secretary if the claimant intends to obtain such records independently. Requires, in the case of a veteran's claim for disability compensation, the Secretary to: (1) obtain the claimant's existing service medical records and, if the claimant has furnished sufficient information, other relevant service records, existing records of relevant medical treatment or examination of the veteran at Department of Veterans Affairs health care facilities or at the expense of the Department, and specified information to be furnished by other agencies; and (2) provide a medical examination or obtain a medical opinion when the evidence of record before the Secretary establishes that the claimant has a current disability or has current symptoms and that there was an event, injury, or disease (or combination thereof) during the claimant's active military, naval, or air service capable of causing or aggravating the claimant's current disability or symptoms, but is insufficient to establish service-connection. (Sec. 4) Places on the claimant the burden of proving entitlement to benefits (currently, of submitting evidence sufficient to justify a belief by a fair and impartial individual that the claim is well grounded). (Sec. 5) Prohibits any Federal department or agency from imposing any charge for providing to the Secretary information for purposes of determining benefit eligibility. (Sec. 6) Provides for: (1) the applicability of provisions of this Act concerning the burden of proof to claims filed before, and not final as of, the date of enactment of this Act; and (2) the readjudication of claims for benefits that were denied, because the claims were not well grounded, during the period between July 14, 1999, and this Act's enactment date.
United States · United States Congress · 17 July 2000
Youth Drug and Mental Health Services Act - Title I: Substance Abuse Prevention - Amends the Public Health Service Act to replace provisions relating to substance abuse treatment programs for pregnant and postpartum women with provisions authorizing grants, cooperative agreements, or contracts for priority substance abuse prevention needs of regional and national significance. (Sec. 102) Replaces provisions relating to drug and alcohol abuse prevention, treatment, and rehabilitation for high risk youth and to employee assistance programs with provisions mandating grants, cooperative agreements, or contracts for: (1) the replication and implementation of best practices in providing comprehensive substance abuse prevention services to children and youth; and (2) strengthening families. (Sec. 104) Shifts responsibility for an existing program of grants for services for children of substance abusers from the Health Resources and Services Administration to the Substance Abuse and Mental Health Services Administration and modifies various requirements of the program. Authorizes the Secretary of Health and Human Services to make grants for the training of professionals to recognize drug and alcohol problems, understand the nature of substance abuse, and obtain early intervention, prevention, and treatment resources. (Sec. 105) Directs the Secretary to make grants, cooperative agreements, or contracts for the planning and execution of school-based (including higher education institutions) and community-based programs to prevent underage drinking. (Sec. 106) Authorizes the Secretary to make grants, cooperative agreements, or contracts for programs relating to the prevention and detection of methamphetamine or inhalant abuse and addiction. Title II: Substance Abuse Treatment - Replaces provisions relating to outpatient treatment programs for pregnant and postpartum women with provisions directing the Secretary, directly or through grants, cooperative agreements, or contracts, to address priority substance abuse treatment needs of regional and national significance. (Sec. 202) Authorizes appropriations to carry out provisions relating to residential treatment programs for pregnant and postpartum women. (Sec. 203) Replaces provisions relating to demonstration projects of national significance and to grants for substance abuse treatment in State and local criminal justice systems with provisions directing the Secretary to make grants, cooperative agreements, and contracts to provide, to people under the age of 22, substance abuse treatment and early intervention substance abuse services. (Sec. 205) Replaces provisions relating to training in the provision of treatment services with provisions directing the Secretary to make grants to provide treatment services to members of Indian tribes and tribal organizations. (Sec. 206) Directs the Secretary to make grants, cooperative agreements, or contracts relating to fetal alcohol syndrome or alcohol-related birth defects to: (1) provide services to people diagnosed with those conditions; and (2) establish up to four centers of excellence to study prevention, adaptations of innovative clinical interventions, and service delivery improvements. (Sec. 207) Removes provisions requiring that at least 35 percent of current formula grants for preventing and treating substance abuse be used for activities relating to alcohol and at least 35 percent for activities relating to other drugs. Authorizes a State to establish a revolving fund to support group homes for recovering substance abusers. (Current law allows the Secretary to make formula grants under existing provisions only if a State establishes such a fund.) Requires a State, in order to receive a formula grant, to establish and maintain a State substance abuse prevention and treatment planning council. Modifies, for territories, requirements regarding and authorizes, for States, waiver of related requirements. Modifies minimum allotment formula provisions. (Sec. 208) Establishes the Commission on Indian and Native Alaskan Health Care. Title III: Mental Health Services - Revises requirements regarding a plan a State must submit in order to receive a grant allotment for providing comprehensive community mental health services to adults with a serious mental illness and to children with a serious emotional disturbance. Modifies requirements regarding waivers for territories and minimum allotments for States. (Sec. 302) Replaces provisions relating to grants for certain mental health demonstration projects with provisions directing the Secretary to make grants, cooperative agreements, or contracts to address priority substance abuse mental health needs of regional and national significance. Repeals provisions authorizing grants for mental health research and clinical training in exchange for a period of obligatory service. (Sec. 303) Replaces provisions authorizing grants for counseling and mental health treatment after a positive test result for the etiologic agent for acquired immune deficiency syndrome (AIDS) with provisions mandating grants, cooperative agreements, or contracts to assist local communities in developing ways to help children deal with violence. (Sec. 304) Directs the Secretary to make grants, cooperative agreements, or contracts to: (1) establish up to four centers for excellence to study adaptations of innovative clinical intervention and service delivery improvement strategies to provide comprehensive mental health services to children; (2) establish national and regional centers of excellence on psychological trauma response; and (3) develop knowledge regarding evidence-based practices for treating psychiatric disorders resulting from witnessing or experiencing such stress. (Sec. 306) Allows the Secretary to waive, for Indian tribes or tribal organizations, American Samoa, Guam, the Marshall Islands, the Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, the Republic of Palau, and the United States Virgin Islands, to waive requirements relating to grants for comprehensive community mental health services to children with a serious emotional disturbance. Makes active grantees eligible to receive a sixth year of funding without peer and Advisory Council review. (Sec. 307) Allows the Secretary to waive, for the United States Virgin Islands, Guam, Palau, American Samoa, the Marshall Islands, and the Commonwealth of the Northern Mariana Islands, certain requirements of provisions relating to formula grants to States for services to individuals who have a serious mental illness (with or without substance abuse) and who are, or are at imminent risk of becoming, homeless. Directs the Secretary to make grants, cooperative agreements, or contracts for mental health and substance abuse services for homeless individuals. (Sec. 308) Amends the Protection and Advocacy for Mentally Ill Individuals Act of 1986 to rename it as the Protection and Advocacy for Individuals with Mental Illness Act. Adds to the definition of "individual with mental illness" individuals with significant mental illnesses or emotional impairments who live in a community setting, including their own homes. Limits the circumstances in which allotments for systems to protect and advocate the rights of individuals with mental illness and investigate incidents of abuse and neglect of such individuals may be used to provide representation to certain individuals. Authorizes those systems to investigate the death or serious injury of an individual with a mental illness if it occurred at a facility to which the Act applies. Modifies the allotment formula. (Sec. 309) Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to enable State or local juvenile justice agencies to provide aftercare services for youth offenders who have been discharged from facilities in the juvenile or criminal justice system and have serious emotional disturbances or are at risk of developing such disturbances. Directs the Secretary to make grants and contracts to establish up to four research, training, and technical assistance centers regarding youth. Title IV: Performance Partnerships - Directs the Secretary to submit to specified congressional committees a plan, under provisions relating to block grants for the prevention and treatment of substance abuse, for creating more flexibility for States and accountability based on outcome and other performance measures. (Sec. 402) Replaces provisions authorizing grants to States to increase the availability of substance abuse treatment with provisions authorizing the Secretary to make grants, cooperative agreements, or contracts to develop and operate substance abuse data collection, analysis, and reporting systems regarding performance measures, process, and outcomes measures. Allows formula grants under existing provisions for comprehensive community mental health services to adults with a serious mental illness and to children with a serious emotional disturbance to be used for data infrastructure development regarding performance data. Allows formula grants under existing provisions for substance abuse prevention and treatment to be used for data infrastructure development regarding performance data. Title V: Cross-Cutting Issues Regarding Mental Health and Substance Abuse - Subtitle A: Co-Occurring Substance Abuse and Mental Health Disorders - Replaces provisions authorizing grants, contracts and cooperative agreements for mental health and substance abuse treatment services for homeless individuals with provisions directing the Secretary to make grants, cooperative agreements, or contracts for comprehensive prevention and treatment services to individuals with, or at risk for, co-occurring substance abuse and mental disorders. (Sec. 502) Allows States to use treatment funds (under provisions relating to formula grants for services to adults with a serious mental illness and to children with a serious emotional disturbance and for substance abuse prevention and treatment) to treat persons with co-occurring substance abuse and mental disorders. Subtitle B: Prevention of Sexual Abuse - Directs the Secretary to make grants, cooperative agreements, or contracts to provide services to runaway and homeless and street youth who have been, or are at risk of being, subjected to sexual abuse, prostitution, or sexual exploitation. Title VI: General Provisions - Limits the disclosure of individually identifiable information collected under provisions relating to mental illness and substance abuse. Authorizes the Secretary to use up to three percent of certain funds appropriated under provisions relating to the Substance Abuse and Mental Health Services Administration for noncompetitive grants, contracts, or cooperative agreements to address emergency substance abuse or mental health needs (or both) in local communities. (Sec. 602) Modifies grant, cooperative agreement, and contract peer review requirements. (Sec. 603) Makes amounts paid to a State (under provisions relating to formula grants for services to adults with a serious mental illness and to children with a serious emotional disturbance and for substance abuse prevention and treatment) available until the end of the fiscal year following the fiscal year (currently, until the end of the fiscal year) for which the amounts were paid. (Current law makes an availability exception regarding subgrantee noncompliance.) (Sec. 604) Repeals provisions relating to narcotic addicts and other drug abusers. (Sec. 605) Requires a health care facility that receives support in any form from any program supported with Federal funds to protect and promote the rights of the facility's residents, including the rights to be free from physical or mental abuse, corporal punishment, and any restraints or involuntary seclusions imposed as a means of coercion, discipline, convenience, or retaliation. Requires reporting of patient deaths and injuries. (Sec. 607) Authorizes (currently, requires) the existence, in the Substance Abuse and Mental Health Services Administration, of an Associate Administrator for Alcohol Prevention and Treatment Policy and allows (currently, requires) the Administrator to delegate certain functions to that Associate Administrator. (Sec. 608) Adds to the duties of the Directors of the Center for Substance Abuse Treatment, the Office for Substance Abuse Prevention, and the Center for Mental Health Services certain duties relating to children, adolescents, and youth. Removes requirements that the: (1) Treatment Center Director monitor the use of revolving loan funds under, and evaluate the effect of, provisions relating to the establishment of group homes for individuals recovering from alcohol or drug abuse; and (2) Mental Health Center Director carry out programs under provisions relating to Public Health Service Act section 520A (amended by section 302 of this Act).
United States · United States Congress · 13 July 2000
Children's Public Health Act of 2000 - Title I: Injury Prevention - Subtitle A: Traumatic Brain Injury - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to implement a national education and awareness campaign regarding prevention of traumatic brain injury. Modifies requirements and authorizes appropriations regarding a currently-mandated study of traumatic brain injury. Authorizes an existing trauma research program to include research on cognitive disorders and neurobehavioral consequences of traumatic brain injury. Authorizes appropriations for that program. (Sec. 104) Authorizes grants for projects (currently, for demonstration projects) to improve access to health and other services regarding traumatic brain injury. Allows required matching funds to be in cash or in kind (currently, in cash). Regulates the use of grant funds. Authorizes appropriations. Subtitle B: Child Care Safety and Health Grants - Directs the Secretary to make allotments to States to establish programs to improve the health and safety of children receiving child care outside the home. Authorizes appropriations. Title II: Maternal and Infant Health - Subtitle A: Safe Motherhood and Infant Health Promotion - Pregnant Women and Infants Health Protection Act - Directs the Secretary to carry out programs relating to prenatal and postnatal smoking and alcohol and illegal drug use. Authorizes grants and contracts. Authorizes appropriations. Authorizes the Secretary to: (1) establish and implement a national surveillance program regarding investigation of deaths and severe complications during pregnancy; (2) expand the Pregnancy Risk Assessment Monitoring System; and (3) expand the Maternal and Child Health Epidemiology Program. Authorizes appropriations. Subtitle B: Healthy Start Initiative - Healthy Start Initiative Continuation Act - Directs the Secretary to continue the Healthy Start Initiative (to reduce infant mortality and improve perinatal outcomes) and authorizes carrying it out on a national basis. Authorizes, if funding increases, additional grants. Authorizes the Secretary to make grants to provide other health services (including ultrasound, prenatal care, genetic counseling, and fetal and other surgery) for pregnant women or infants that are medically appropriate to prevent or mitigate congenital defects or other serious obstetric complications. Allows using grant funds for paying transportation and subsistence expenses to assist the woman in obtaining health services from the grantee involved. Authorizes appropriations. Subtitle C: National Center for Birth Defects and Developmental Disabilities - Establishes the National Center for Birth Defects and Developmental Disabilities to: (1) collect, analyze, and make available date on birth defects and developmental disabilities; and (2) conduct applied epidemiological research, and provide information and education to the pubic, on prevention of such defects and disabilities. Transfers to such Center all activities, budgets, and personnel of the National Center for Environmental Health that relate to birth defects, folic acid, cerebral palsy, mental retardation, child development, newborn screening, autism, Fragile X syndrome, fetal alcohol syndrome, pediatric genetics, disability prevention, and other activities. Authorizes appropriations. Subtitle D: Folic Acid Education Program - Directs the Secretary to carry out a program of professional and public education and training, research, and epidemiological activities regarding folic acid and birth defects. Authorizes appropriations. Title III: Pediatric Public Health Promotion - Subtitle A: Asthma - Directs the Secretary to make grants to provide comprehensive asthma-related services for children and other individuals. Authorizes appropriations. Allows preventive health and health services block grant funds to be used for projects to reduce the prevalence of asthma and asthma-related illnesses among urban populations, especially children, by reducing exposure to cockroach allergen or other known asthma triggers through pest management that minimizes or avoids pesticide chemicals through a combination of site maintenance, cleaning, and monitoring. Directs the Secretary to: (1) identify all Federal programs carrying out asthma-related activities; (2) develop a Federal plan for responding to asthma; and (3) submit recommendations to Congress on ways to strengthen and improve Federal coordination of such activities. Authorizes appropriations. Requires the Director of the Centers for Disease Control and Prevention (CDCP) to: (1) conduct local asthma surveillance activities to collect data on the prevalence and severity of asthma and the quality of asthma management; and (2) compile and annually publish data on the prevalence of children suffering from asthma in each State and the childhood mortality rate associated with asthma nationally and in each State. Authorizes appropriations. Subtitle B: Childhood Obesity Prevention - Directs the Secretary to award grants for the development and implementation of State and community-based intervention programs promoting good nutrition and physical activity in children and adolescents. Authorizes appropriations. Directs the Secretary to: (1) conduct research on physical activity, diet, health, health-related behaviors, and childhood obesity and its effects in adulthood; (2) develop and evaluate strategies to prevent and treat obesity and eating disorders; (3) identify obesity behaviors and risk factors; (4) evaluate materials and programs providing nutrition education to parents, teachers, and food service staff of child care and pre-school entities; and (5) evaluate materials and programs designed to educate and encourage physical activity in child care and pre-school facilities. Directs the Secretary to develop a national public campaign to promote and educate children and parents regarding health risks associated with obesity, inactivity, and poor nutrition, ways to incorporate physical activity into daily living, the benefits of good nutrition, and strategies to improve eating habits. Directs the Secretary to develop and carry out a program to educate and train health professionals in effective strategies to identify and assess patients with, or at risk for, obesity or an eating disorder, counsel, refer, or treat patients with obesity or an eating disorder, and educate patients and their families about strategies to improve dietary habits and establish appropriate levels of physical activity. Subtitle C: Early Detection and Treatment Regarding Childhood Lead Poisoning - Modifies application and reporting requirements for existing grants regarding lead poisoning. Directs the Secretary to develop national guidelines for the uniform and complete reporting of all blood lead test results to State and local health departments. Requires the CDCP Director to assist with the improvement of data links between local and State health departments and the CDCP, help States with the development of data management systems for the surveillance of children with lead poisoning, and take other actions regarding lead poisoning. Authorizes appropriations. (Sec. 322) Directs the Secretary to: (1) make grants where data suggests that at least five percent of preschool-age children have an elevated blood level; and (2) conduct education and training programs for health care providers regarding childhood lead poisoning. Authorizes appropriations. Subtitle D: Oral Health - Directs the Secretary to support: (1) community-based research on the etiology, pathogenesis, diagnosis, prevention, and treatment of pediatric oral, dental, craniofacial diseases and conditions and their sequelae in high risk populations; (2) demonstrations of preventive interventions in those populations; and (3) the development of clinical approaches to assess individual patients for the risk of pediatric dental disease. Authorizes appropriations. (Sec. 332) Directs the Secretary to establish a program of repayment of oral health professionals' educational loans in return for the professionals agreeing to conduct pediatric oral, dental, and craniofacial disease and condition research or training. (Sec. 333) Authorizes the Secretary to make grants to increase the resources available for community water fluoridation. Authorizes appropriations. (Sec. 334) Directs the Secretary to establish a demonstration project to assist rural water systems in implementing the CDCP's water fluoridation guidelines. Authorizes appropriations. (Sec. 335) Authorizes the Secretary to make grants for the development of programs to improve children's school-based access to sealants. Authorizes appropriations. (Sec. 336) Directs the Secretary to: (1) fund innovative oral health activities that improve the oral health of children under six years who are eligible for services under a Federal health program; and (2) make grants or contracts to increase training of oral health services providers or to increase children's use of dental services. Authorizes appropriations. Title IV: Pediatric Research - Subtitle A: Pediatric Research Initiative - Mandates the establishment of a Pediatric Research Initiative to conduct and support research and coordination directly related to illnesses and conditions of children. Authorizes appropriations. (Sec. 402) Directs the Secretary to make available enhanced support for extramural activities relating to the training and career development of pediatric researchers. Authorizes appropriations. Authorizes the Secretary to repay the educational loans of pediatricians in return for conducting pediatric research. Authorizes appropriations. Subtitle B: Autism - Requires the NIH Director to expand, intensify, and coordinate NIH activities regarding autism. Requires the Director, among other things, to make grants and contracts for centers of excellence regarding autism research. Authorizes appropriations. (Sec. 412) Authorizes the Secretary to make grants and cooperative agreements for the collection, analysis, and reporting of data on autism and pervasive developmental disabilities. Directs the Secretary to: (1) establish, through grants or cooperative agreements, at least three regional centers of excellence in autism and pervasive developmental disabilities epidemiology to collect and analyze information on autism and developmental disabilities; (2) establish a clearinghouse for the collection and storage of data generated from the monitoring programs created by this title; (3) coordinate the Federal response to requests for assistance from State health department officials regarding potential or alleged autism or developmental disability clusters. Authorizes appropriations; and (4) establish a program to provide information and education on autism to health professionals and the public. Authorizes appropriations. (Sec. 414) Directs the Secretary to establish an Autism Coordinating Committee. Subtitle C: Long-Term Child Development - Requires the Director of the National Institute of Child Health and Human Development to establish a consortium of Federal agency representatives to: (1) plan and implement a prospective cohort study of the effects of chronic and intermittent exposures on human development; and (2) investigate basic mechanisms of developmental disorders and environmental factors that influence growth and developmental processes. Authorizes appropriations. Subtitle D: Research on Rare Diseases in Children - Requires the NIH Director to report to Congress on NIH activities regarding children's rare diseases. Subtitle E: GME Programs in Children's Hospitals - Extends the mandate to make annual payments to each children's hospital for the direct and indirect expenses of operating graduate medical residency training programs. Authorizes appropriations.
United States · United States Congress · 13 July 2000
Medicare Access to Ambulance Services Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to restructure the payment rates for ambulance services, air and ground, and establish a prudent layperson standard for emergency ambulance services Directs the Secretary of Health and Human Services to study and report to Congress on rural areas and the cost of providing ambulance services.
United States · United States Congress · 12 July 2000
National Autism Registry Act - Amends the Public Health Service Act to require: (1) the establishment of a baseline level of data that is to be collected by States for the operation of State autism registries; and (2) workshops with interested parties including parent groups, physicians, and researchers to reach consensus on the content of the baseline data collection efforts. Authorizes grants to: (1) States for the operation of State autism registries; and (2) academic institutions to enable such institutions, with respect to autism, to conduct specified studies, research, and activities. Authorizes appropriations.
United States · United States Congress · 12 July 2000
Family Opportunity Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) give States the option of allowing families of disabled children to purchase Medicaid coverage for such children; and (2) provide for treatment of inpatient psychiatric hospital services for individuals under age 21 under waivers allowing for payment for part or all of the cost of home or community-based services. Authorizes a State to apply to the Secretary of Health and Human Services for approval of a demonstration project to provide Medicaid coverage to up to a specified maximum number of children with a potentially severe disability. Amends SSA title V (Maternal and Child Health Services) to make appropriations to the Secretary for special projects of regional and national significance for development and support of family-to-family health information centers. Amends SSA title XIX to provide for the restoration of Medicaid eligibility to certain SSI (Supplemental Security Income) (SSA title XVI) beneficiaries under age 21.
United States · United States Congress · 12 July 2000
Medicare Access to Telehealth Services Act of 2000 - Amends the Balanced Budget Act of 1997 to revise provisions on Medicare (title XVIII of the Social Security Act) reimbursement for telehealth services, among other changes: (1) providing for, in the case of any Federal telemedicine demonstration program in Alaska or Hawaii, the use of store-and-forward technology; and (2) requiring the Secretary of Health and Human Services to study and report to Congress on certain additional services appropriate for Medicare payment.
United States · United States Congress · 11 July 2000
Children's Dental Health Preservation Act of 2000 - Directs the Secretary of Health and Human Services to make grants to States for the purpose of: (1) identifying children, eligible for Federal programs, at risk of developing dental caries and for the provision of preventative and therapeutic services in accordance with State practice acts to reduce oral disease occurrence; and (2) training of health care professionals to educate parents on oral disease prevention.
United States · United States Congress · 10 July 2000
Foreign Operations, Export Financing, and Related Programs Appropriations Act, 2001 - Title I: Export and Investment Assistance - Makes appropriations for FY 2001 for: (1) direct loans, loan guarantees, tied-aid grants, insurance, and administrative expenses under Export-Import Bank programs; (2) Overseas Private Investment Corporation (OPIC) direct and guaranteed loans and credit and insurance programs, including administrative expenses; and (3) the Trade and Development Agency. Title II: Bilateral Economic Assistance - Makes appropriations for FY 2001 for: (1) expenses of the President in carrying out certain programs under the Foreign Assistance Act of 1961; (2) the Agency for International Development (AID) child survival and infectious disease programs, including basic education programs (earmarking amounts for child survival and maternal health, vulnerable children, HIV-AIDS, other infectious diseases, children's basic education, UNICEF, and U.S. contribution to the Global Fund for Children's Vaccines); (3) specified development assistance (allowing availability of limited amounts for the Inter-American Foundation and the African Development Foundation); (4) specified assistance for Lebanon for scholarships and direct support to the American educational institutions there; (5) international disaster assistance; (6) international disaster rehabilitation and reconstruction assistance to support transition to democracy and to long-term development of countries in crisis (provided AID reports to the Committees on Appropriations at least five days before the beginning of such program assistance); (7) micro and small enterprise development programs; (8) direct loans and loan guarantees under the development credit authority program for development assistance to foreign countries (provided such funds are made available only for urban and environmental programs); (9) the Foreign Service Retirement and Disability Fund; (10) operating expenses of AID and the AID Office of Inspector General; (11) Economic Support Fund (ESF) assistance (earmarking amounts for Israel, Egypt, and Mongolia); (12) the International Fund for Ireland; (13) ESF assistance for Eastern Europe and the Baltic States (earmarking amounts for the Baltic States, Kosovo, and Bosnia and Herzegovina, subject to specified conditions); (14) assistance for the Independent States of the former Soviet Union (subject to specified conditions, and earmarking amounts for Georgia and Armenia and for child survival, environmental health, and to combat infectious diseases); (15) the Peace Corps (with a bar on the use of such funds for abortions); (16) international narcotics control and law enforcement; (17) migration and refugee assistance; (18) the Emergency Refugee and Migration Assistance Fund; (19) nonproliferation, anti-terrorism, demining, and related programs and activities (including U.S. contributions to the International Atomic Energy Agency (IAEA), the Korean Peninsula Energy Development Organization (KEDO), subject to specified conditions, the Comprehensive Nuclear Test Ban Treaty Preparatory Commission, and the Nonproliferation and Disarmament Fund); (20) the Department of the Treasury international affairs technical assistance program; and (21) debt restructuring of concessional loans, guarantees, and credits made to eligible countries (including through the Heavily Indebted Poor Country (HIPC) Trust Fund under the enhanced HIPC initiative). Bars the use of development assistance funds for: (1) coercive abortions or involuntary sterilizations; (2) U.S. private and voluntary organizations which obtain less than 20 percent of annual funding from sources other than the U.S. Government; and (3) any activity contravening the Convention on International Trade in Endangered Species of Flora and Fauna (CITES). Prohibits funds to Russia unless the Secretary of State certifies to the Committees on Appropriations that the Russian Federation is in compliance with article V of the Treaty on Conventional Armed Forces in Europe regarding forces deployed in the flank zone in and around Chechnya. Withholds 50 percent of the funds allocated for the Government of the Russian Federation until the President certifies to the Committees on Appropriations that it has terminated arrangements to provide Iran with technology to develop a nuclear program or ballistic missile capability. Title III: Military Assistance - Makes appropriations for FY 2001 for: (1) expanded international military education and training (IMET) to Indonesia and Guatemala; (2) foreign military financing grants and direct loans (earmarking amounts for Israel and Egypt); and (3) international peacekeeping operations (subject to certain conditions). Declares that none of the funds appropriated under this heading may be made available to support grant-financed military education and training at the School of the Americas unless: (1) the Secretary of Defense certifies that the instruction and training provided by the School is fully consistent with training and doctrine, particularly with respect to the observance of human rights, provided by the Department of Defense to U.S. military students at Department of Defense institutions whose primary purpose is to train U.S. military personnel; and (2) the Secretary of State, without delegation, certifies that such instruction and training is consistent with U.S. foreign policy objectives and helps support the observance of human rights in Latin America. Requires the Secretary of Defense to report to a specified congressional committee by January 15, 2001, on the School's training activities and a general assessment regarding the performance of its graduates during 1998 and 1999. Urges Israel to terminate the existing contract to sell an airborne radar system to the People's Republic of China which could threaten both the forces of democratic Taiwan and the United States in the region surrounding the Taiwan Strait. Prohibits foreign military financing for: (1) Sudan, Liberia, and Guatemala; or (2) any non-NATO country participating in the Partnership for Peace Program except through the regular notification procedures of the Committees on Appropriations. Title IV: Multilateral Economic Assistance - Makes appropriations for FY 2001 for the U.S. contribution to: (1) the Global Environment Facility of the International Bank for Reconstruction and Development (World Bank); (2) the International Development Association (IDA), subject to specified conditions; (3) the Multilateral Investment Guarantee Agency; (4) the Inter-American Investment Corporation; (5) the Enterprise for the Americas Multilateral Investment Fund; (6) the Asian Development Fund; (7) the African Development Bank; (8) the African Development Fund; (9) the European Bank for Reconstruction and Development; and (10) the International Fund for Agricultural Development. Makes appropriations for FY 2001 for international programs and organizations. Sets certain restrictions on international organization funding, including prohibiting the use of funds for the United Nations Fund for Science and Technology, KEDO, or the IAEA. Title V: General Provisions - Sets forth limits on the use of appropriations, including that no more than 15 percent of such appropriations shall be obligated during the last month of availability. (Sec. 502) Prohibits: (1) the use of funds for bilateral funding of international financial institutions; and (2) the transfer of such funds by AID directly to such an institution for the purpose of repaying a foreign country's loan obligations to it. (Sec. 503) Sets forth limits on the use of appropriations, including no more than specified maximums for official residence expenses, entertainment expenses, and representation allowances for AID, and for entertainment and representation allowances for the Inter-American Foundation and the Trade and Development Agency. Limits the use of funds for entertainment expenses of the Peace Corps, and of entertainment and representation allowances under the Foreign Military Financing Program. (Sec. 506) Prohibits the use of funds for: (1) the export of nuclear equipment, fuel, or technology (except for nuclear safety purposes); (2) direct assistance or reparations to Cuba, Iraq, Libya, North Korea, Iran, Sudan, or Syria; (3) assistance to any country whose duly elected head of government is deposed by military coup or decree; (4) certain transfers between appropriations accounts without prior presidential consultation with Congress; (5) assistance to any country in default in excess of a year on payments on a U.S. loan (except for any narcotics-related assistance for Colombia, Bolivia, or Peru); and (6) assistance (except in certain circumstances) for production of any commodity for export by a foreign country, if the commodity is likely to be in surplus on world markets when the resulting productive capacity is expected to become operative, and if the assistance will cause substantial injury to U.S. producers of a similar commodity. (Sec. 514) Directs the Secretary of the Treasury to instruct the U.S. Executive Directors of specified international financial institutions to oppose any assistance for the production or extraction of any commodity or mineral for export if it is in surplus on world markets and such assistance will cause substantial injury to U.S. producers of a similar commodity. (Sec. 516) Declares that funds appropriated for foreign operations, export financial, and related programs, that are returned or not made available for international organizations and programs shall remain available for obligation until FY 2002. (Sec. 517) Prohibits the availability of assistance for the Independent States of the former Soviet Union to a Government of such an Independent State, unless such Government is making progress in implementing comprehensive economic reforms based on market principles, private ownership, respect for commercial contracts, and equitable treatment of foreign private investment. Prohibits the availability of assistance also: (1) if such a Government applies or transfers U.S. assistance to any entity for the purpose of expropriating or seizing ownership of assets, investments, or ventures (unless the President determines such assistance is in the national interest); or (2) to enhance its military capability (except for demilitarization, demining, or nonproliferation programs). (Sec. 518) Prohibits the use of development assistance funds for abortions or involuntary sterilizations as methods of family planning or to motivate or coerce any person to practice abortions, or provide any financial incentive to undergo sterilization. (Sec. 519) Limits to no more than five percent the amount of export financing funds (other than for administrative expenses) that can be transferred from one appropriation to another, with no appropriation being increased by more than 25 percent by such transfer. (Sec. 520) Prohibits the use of funds for Colombia, Haiti, Liberia, Serbia, Sudan, Ethiopia, Eritrea, Zimbabwe, or the Democratic Republic of Congo, except through the regular notification procedures of the Committees on Appropriations. (Sec. 522) Makes funds available to AID for child survival, basic education, infectious disease activities and Acquired Immune Deficiency Syndrome (AIDS) research and control in developing countries. (Sec. 523) Bars funding for indirect assistance or reparations to Cuba, Iraq, Libya, Iran, Syria, North Korea, or China unless the President certifies that the withholding of such funds is contrary to the U.S. national security interest. (Sec. 524) Requires the Department of Defense (DOD) to notify the Committees on Appropriations before providing excess DOD articles to certain NATO and major non-NATO countries. (Sec. 526) Authorizes the availability of ESF funds to provide general support and grants for nongovernmental organizations located outside China that have as their primary purpose fostering democracy in that country (including earmarking amounts to such organizations to support activities which preserve cultural traditions and promote sustainable development and environmental conservation in Tibetan communities). Earmarks ESF funds to the Jamestown Foundation (currently the Robert F. Kennedy Memorial Center for Human Rights) for a project to disseminate information and support research about China, and related activities. (Sec. 527) Prohibits bilateral assistance funds to any country which the President determines grants sanctuary from prosecution to any individual or group which has committed an act of international terrorism or otherwise supports such activities. Authorizes the waiver of this prohibition by the President for national security and humanitarian reasons, requiring notification to the Committees on Appropriations. (Sec. 528) Directs the Secretary of State to report quarterly to the Committees on Appropriations on the use of supplemental appropriations for ESF assistance and military assistance to certain countries. (Sec. 529) Requires all AID contracts and subcontracts to include a clause requiring that U.S. insurance companies have a fair opportunity to bid for insurance when insurance is necessary or appropriate. (Sec. 530) Prohibits U.S. sale of Stinger missiles in the Persian Gulf region, with certain exceptions. (Sec. 531) Authorizes nongovernmental organizations which are AID grantees or contractors to place funds made available to them under this Act in interest bearing accounts in order to enhance their participation in economic activities under the Foreign Assistance Act of 1961, including endowments and debt-for-development and debt-for- nature exchanges. (Sec. 532) Directs the Administrator of AID to require foreign countries that receive foreign assistance which results in the generation of local currencies to deposit such currencies in a separate account to be used to finance foreign assistance activities. (Sec. 533) Prohibits payments to any international financial institution while the U.S. Executive Director to the institution is compensated at a rate in excess of that for Level IV of the Executive Schedule. (Sec. 534) Bars assistance to any country that is not in compliance with the United Nations (UN) sanctions against Iraq, unless the President certifies to Congress that such assistance: (1) is in the U.S. national interest; (2) will directly benefit the needy people in that country; or (3) will be humanitarian assistance for foreign nationals who have fled Iraq and Kuwait. (Sec. 535) Declares that provisions under this or any other Act authorizing appropriations for foreign operations or export financing shall not be construed to prohibit activities authorized by the Peace Corps Act, the Inter-American Foundation Act, or the African Development Foundation Act. Requires an agency to report to the Committees on Appropriations whenever it is conducting or proposing activities in a country for which such assistance is prohibited. (Sec. 536) Prohibits the use of funds to provide: (1) any financial incentive to a business for purposes of inducing it to relocate outside the United States if it will reduce the number of employees in the United States; (2) assistance for establishing or developing in a foreign country an export processing zone or other designated area in which a country's tax, tariff, labor, environment, and safety laws do not apply to activities in the area, unless the President certifies that such assistance is not likely to cause a loss of U.S. jobs; or (3) assistance for any project that contributes to the violation of internationally recognized workers rights in the recipient country. (Sec. 537) Prohibits the availability of funds under this Act for the Republic of Serbia (except for Kosovo or Montenegro or for assistance to promote democratization). (Sec. 538) Declares that funds appropriated under this Act for Afghanistan, Lebanon, Montenegro, and for victims of war, displaced children, and displaced Burmese may be made available notwithstanding any other provision of law. Prohibits the use of funds made available to Cambodia for military or paramilitary purposes. Authorizes the use of foreign assistance funds to support tropical forestry and biodiversity conservation programs, and subject to the regular notification procedures of the Committees on Appropriations, energy programs aimed at reducing greenhouse gas emissions. Authorizes AID to employ personal services contractors to administer programs for the West Bank and Gaza. Authorizes the President to waive certain prohibitions with respect to the Palestine Liberation Organizations (PLO) if the President determines and certifies to Congress that it is in the national interest. (Sec. 539) Expresses the sense of Congress with respect to: (1) immediate public renunciation by the Arab League countries of the boycott of Israel (reinstated in 1997) and of American firms having commercial ties with Israel; (2) normalization of relations with Israel by such Arab countries; and (3) steps the President should take to encourage such renunciation. (Sec. 540) Authorizes the use of ESF funds to strengthen the administration of justice in countries in Latin America, the Caribbean, and in other regions. (Sec. 541) Declares that the restrictions on assistance to foreign countries contained in this Act or any other Act (except those relating to international terrorism or human rights violations) shall not be construed to restrict assistance: (1) in support of certain programs of nongovernmental organizations; or (2) under specified provisions of the Agricultural Trade Development and Assistance Act of 1954. (Sec. 542) Authorizes the reprogramming of earmarked appropriations for other programs within the same account, provided certain requirements are met. (Sec. 544) Prohibits the use of funds for publicity or propaganda purposes within the United States that were not authorized before the enactment of this Act. Earmarks specified amounts to private and voluntary organizations to deal with world hunger abroad. (Sec. 545) Declares that assistance under this Act should make full use of American resources, including commodities, products, and services, to the maximum extent possible. Declares the sense of Congress that, to the greatest extent practicable, all agricultural commodities, equipment, and products purchased with funds made available in this Act should be American- made. Requires Federal agency heads, in providing financial assistance to or entering into any contract with any entity using funds made available in this Act, to notify such entity of this intention. Directs the Secretary of the Treasury to report annually on the efforts of such agency heads and the U.S. directors of international financial institutions in complying with such requirements. (Sec. 546) Prohibits the use of funds to pay any assessments, arrearages, or dues of any UN member (including costs for attendance of another country's delegation at international conferences). (Sec. 548) Prohibits the provision of funds to a private voluntary organization that fails to provide any document, file, or record necessary to the auditing requirements of AID. (Sec. 549) Prohibits the provision of funds to any foreign government that provides lethal military equipment to a country that the Secretary of State has determined has a terrorist government, unless the President determines that the furnishing of such assistance is in the U.S. national interest. (Sec. 550) Withholds assistance from a foreign country in an amount equal to 110 percent of the total unpaid parking fines and penalties owed by the country to the District of Columbia. (Sec. 551) Prohibits the obligation of any appropriations for the PLO for the West Bank and Gaza unless the President has exercised certain authorities to suspend prohibitions on assistance to the PLO. (Sec. 552) Permits the President to provide up to a specified amount of commodities and services to the UN War Crimes Tribunal if doing so will contribute to a just resolution of charges regarding genocide or other violations of international law in the former Yugoslavia. (Sec. 553) Authorizes disposal on a grant basis in foreign countries of demining equipment used in support of the clearance of land mines and unexploded ordnance for humanitarian purposes. (Sec. 554) Prohibits the obligation of appropriations to create in Jerusalem a new U.S. agency office for the purpose of conducting U.S. business with the Palestinian Authority over Gaza and Jericho (or any successor Palestinian governing entity) provided for in the Israel-PLO Declaration of Principles. (Sec. 555) Prohibits the obligation of certain funds appropriated for Informational Program activities to pay for: (1) alcoholic beverages; or (2) entertainment expenses for recreational activities. (Sec. 556) Authorizes the President to reduce amounts owed to the United States by eligible countries as a result of: (1) housing guarantees made pursuant to the Foreign Assistance Act of 1961; (2) credits extended or guarantees issued under the Arms Export Control Act; or (3) any obligation to pay for purchases of U.S. agricultural commodities guaranteed by the Commodity Credit Corporation. Permits the exercise of such authority only: (1) to implement multilateral official debt relief and referendum agreements known as the Paris Club Agreed Minutes; and (2) with respect to countries with heavy debt burdens that are eligible to borrow from the IDA (but not from the World Bank) (IDA-only countries). Prescribes additional conditions for the exercise of such authority. (Sec. 557) Authorizes the President to engage in certain debt buybacks or sales. Authorizes the sale, reduction, or cancellation of certain loans to foreign governments, upon receipt of payment from an eligible purchaser that plans to use such loans only for the purposes of engaging in debt-for-equity swaps, debt-for-development swaps, or debt-for nature swaps. Limits such authority to funds appropriated by this Act under the heading of debt restructuring. (Sec. 558) Bars funds appropriated by this Act or any previous appropriations Act for foreign operations, export financing and related programs to be made available for assistance for the Government of Haiti until: (1) the Secretary of State reports to the Committees on Appropriations that Haiti has held free and fair elections to seat a new parliament; and (2) the Director of the Office of National Drug Control Policy reports to the Committees on Appropriations that such Government is fully cooperating with the US efforts to interdict illicit drug traffic through it to the United States. Earmarks a specified percentage of funds appropriated under this Act for bilateral assistance to Latin America and the Caribbean region. (Sec. 559) Requires a specified annual report of the Secretary of State containing the voting record of each foreign member country of the UN to include a side-by-side comparison of each country's overall support for the United States at the UN and the amount of U.S. assistance provided to it in FY 2000. (Sec. 560) Prohibits the United States from paying any voluntary contribution to the UN, including the UN Development Program, unless the President certifies to Congress 15 days in advance of such payment that the UN is not engaged in any effort to implement or impose any taxation on U.S. persons in order to raise revenue for itself or any of its specialized agencies. (Sec. 561) Makes the Government of Haiti eligible to purchase U.S. defense articles and services for its Coast Guard. (Sec. 562) Prohibits the obligation of any appropriations for the PLO unless the President certifies to Congress that it is in the U.S. national security interests. (Sec. 563) Prohibits the use of funds for the security forces of a foreign country if the Secretary of State believes they have committed gross violations of human rights, unless the Secretary reports to the Committees on Appropriations that such country is taking steps to bring the responsible persons to justice. (Sec. 564) Provides for bilateral and multilateral assistance sanctions (with humanitarian, democratization, and certain infrastructure project exceptions) against countries harboring war criminals indicted with respect to the former Yugoslavia. Prohibits the provision of bilateral assistance for programs in which publicly indicted war criminals are known to have any financial interest or communities that are not in compliance with specified sections of the Dayton Agreement relating to war crimes and the Tribunal. Requires the Secretary of State to report to the appropriate congressional committees on the location, if known, of publicly indicted war criminals, on country, entity and municipality authorities known to have obstructed the work of the Tribunal, and on sanctioned countries, entities, and municipalities. (Sec. 565) Prohibits the use of funds for the Government of the Russian Federation unless the President certifies to specified congressional committees that the Federation has not enacted laws or promulgated executive orders that discriminate against religious minorities in violation of international agreements on human rights and religious freedoms to which it is a party. (Sec. 566) Subjects the availability of funds in this Act to support programs or activities promoting country participation in the Kyoto Protocol to the Framework Convention on Climate Change (FCCC) to the regular notification procedures of the Committees on Appropriations. (Sec. 567) Bars funds to the Central Government of the Democratic Republic of Congo. (Sec. 568) Earmarks specified foreign assistance funds for Israel, Egypt, Jordan, Lebanon, the West Bank and Gaza, the Israel-Lebanon Monitoring Group, the Multinational Force and Observers, the Middle East Regional Democracy Fund, Middle East Regional Cooperation, and Middle East Multilateral Working Groups. (Sec. 569) Requires the President to submit to specified congressional committees a plan for the distribution of the assets of an Enterprise Fund before any distribution resulting from liquidation, dissolution, or winding up of the Fund. (Sec. 570) Directs the Secretary of the Treasury to instruct the U.S. executive directors of international financial institutions to oppose loans to Cambodia (except loans to support basic human needs). Prohibits the availability of funds under this Act for assistance for the Government of Cambodia. (Sec. 571) Directs the Secretaries of Defense and of State to report jointly to Congress on all overseas military training provided to, and proposed to be provided to, foreign military personnel under programs administered by the Defense and State Departments during FY 2000 and 2001. (Sec. 572) Earmarks specified funds for KEDO for administrative expenses and heavy fuel oil costs associated with the Agreed Framework (Joint Declaration on Denuclearization of the Korean Peninsula). Earmarks other amounts to KEDO if the President certifies to Congress that North Korea is complying with the provisions of the Agreed Framework. (Sec. 573) Authorizes investment of funds made available to grantees of the African Development Foundation pending expenditure for project purposes when authorized by the President of the Foundation. (Sec. 574) Bars the use of funds appropriated under this Act to provide equipment, technical support, consulting services, or any other assistance to the Palestinian Broadcasting Corporation. (Sec. 575) Earmarks specified amounts of ESF funds for a political transition in Iraq, Iraqi opposition groups for political, economic, humanitarian, and other activities, and for groups and activities seeking the prosecution of Saddam Hussein and other Iraqi government officials for war crimes. Bars the use of such funds for administrative expenses of the State Department. (Sec. 576) Directs AID to submit an annual budget justification consistent with certain requirements of this Act to the Committees on Appropriations. (Sec. 577) Prohibits the use of funds appropriated under this Act to propose or issue rules, regulations, decrees, or orders for implementation, or in preparation for implementation, of the Kyoto Protocol to the United States Framework Convention on Climate Change, which has not been submitted to the Senate for advice and consent to ratification pursuant to the U.S. Constitution, and which has not entered into force. (Sec. 578) Directs the Secretary of State, 30 days prior to the initial obligation of ESF funds for the bilateral West Bank and Gaza Program, to certify to the appropriate congressional committees that procedures have been established to assure the Comptroller General will have access to appropriate U.S. financial information in order to review the uses of such funds for the Program. (Sec. 579) Makes foreign military financing program funds available for Indonesia if the President determines and reports to the appropriate congressional committees that the Indonesian government and the Indonesian armed forces are taking specified actions to: (1) bring to justice, and cooperate with investigations and prosecutions of, members of the armed forces and militia groups with respect to human rights violations in Indonesia and East Timor; (2) allow safe passage for refugees returning home to East Timor from West Timor; and (3) not impede the United Nations Transitional Authority in East Timor (UNTAET). (Sec. 580) Bars the use of appropriated funds under this Act for the UN Man and the Biosphere Program or the UN World Heritage Fund for programs in the United States. (Sec. 581) Requires the Secretary of State to consult with the appropriate congressional committees and leadership of Congress to devise a mechanism to provide for congressional input before making any determination on the nature or quantity of defense articles and services to be made available to Taiwan. (Sec. 582) Urges funds appropriated by this Act for U.S. assistance for Eastern Europe and the Baltic States to the maximum extent practicable to be used for the procurement of articles and services of U.S. origin. (Sec. 583) Bars the use of funds appropriated by this Act for assistance for the government of any country that has been determined to have: (1) provided lethal or non-lethal military support or equipment, directly or through intermediaries, within the previous six months to the Sierra Leone Revolutionary United Front (RUF), or any other group intent on destabilizing the democratically elected government of the Republic of Sierra Leone; or (2) aided or abetted, within the previous six months, in the illicit distribution, transportation, or sale of diamonds mined in Sierra Leone. (Sec. 584) Authorizes voluntary separation incentive payments to AID employees who voluntarily separate (whether by retirement or resignation) on or before December 31, 2001 to eliminate AID positions and functions contained in a mandatory strategic plan outlining such payments. (Sec. 585) Amends the Foreign Assistance Act of 1961 to establish a working capital fund for AID expenses of personal and nonpersonal services, equipment and supplies. (Sec. 586) Earmarks a specified amount of international organizations and program funds for the UN Population Fund (UNFPA) (except for any country program in China). Conditions the availability of such funds to UNFPA on specified requirements, including that it does not fund abortions. (Sec. 587) Earmarks a specified amount of funds for population planning activities or other population assistance, with specified restrictions on assistance to foreign organizations that perform or actively promote abortions. (Sec. 588) Requires information relevant to the December 2, 1980, murders of four American churchwomen in El Salvador to be made public to the fullest extent possible. (Sec. 589) Declares that funds shall be appropriated to the HIPC Initiative only when the President of the World Bank and the Managing Director of the International Monetary Fund (IMF) certify to the Secretary of the Treasury that such institutions will not include user fees or service charges through "community financing", "cost sharing", "cost recovery", or any other mechanism for primary education or primary healthcare, including prevention and treatment efforts for AIDS, malaria, tuberculosis, and infant, child, and maternal well-being in their Poverty Reduction Strategy Papers or any other HIPC-related debt relief or economic reform program or plan or any other IMF or World Bank loan or reform program. (Sec. 590) Bars the use of funds under this Act for abortions or to lobby for or against abortion. (Sec. 591) Directs the Secretary of the Treasury to withhold ten percent of the U.S. payment to any international financial institution until the Secretary certifies that such institution has implemented certain procurement and financial management reforms. Title VI: Mozambique, Madagascar, and Southern Africa Rehabilitation and Reconstruction - Authorizes additional appropriations for FY 2000 for international assistance and rehabilitation and reconstruction assistance for Mozambique, Madagascar, and southern Africa.
United States · United States Congress · 10 July 2000
Amends Federal employee health insurance provisions to allow Federal employees the option of enrolling in an approved health benefits plan for "self and extended family" which includes coverage of a dependent parent.
United States · United States Congress · 30 June 2000
Medicare Home Health Refinement Act of 2000 - Title I: Emergency Cash-Flow Assistance for Home Health Agencies - Establishes a Home Health Transitional Loan Program under which the Secretary of Health and Human Services shall make loans from the Federal Hospital Insurance Trust Fund to any qualified home health agency. Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) provide for the establishment of split-payment percentages under the prospective payment system (PPS) for home health services; and (2) ensure prompt payment from the Medicare trust funds of claims of home health agencies under the interim payment system (IPS) and PPS for home health services. Title II: Reimbursement of Home Health Agencies for Unfunded PPS Related Costs - Provides that in the case of a home health agency that furnishes home health services to a Medicare beneficiary, for each such beneficiary to whom the agency furnished such services during the agency's cost reporting period beginning in FY 2000, the Secretary shall pay the agency a specified amount from the Medicare trust funds to defray costs incurred by it attributable to technology costs required for compliance with the PPS for home health services. Title III: Reimbursement of Home Health Agencies for OASIS Labor Costs - Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to provide for reimbursement for Outcome and Assessment Information Set (OASIS) labor costs under the IPS and PPS for home health services. Title IV: Nonroutine Medical Supplies Furnished by Home Health Agencies - Amends SSA title XVIII to: (1) exclude nonroutine medical supplies from the PPS for home health services; and (2) require payment of the lesser of the actual charge for such supplies or the amount determined under a fee schedule.
United States · United States Congress · 30 June 2000
Medicare Rx Drug Discount and Security Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Voluntary Medicare Outpatient Prescription Drug Discount and Security Program) to create the Commissioner of Medicare Prescription Drugs who shall establish a Medicare Outpatient Prescription Drug Discount and Security Program under which an eligible beneficiary may voluntarily enroll with an eligible private entity and receive described benefits, including a catastrophic benefit. Makes the costs of providing program benefits payable from the Federal Supplementary Medical Insurance Trust Fund. Authorizes appropriations. Establishes as an independent executive agency a Medicare Prescription Drug Agency to administer the new part D program through the Commissioner. Authorizes appropriations. Amends SSA title XVIII part B (Supplementary Medical Insurance) to provide for the exclusion of new part D costs from the determination of the Medicare part B monthly premium. Revises Medicare supplemental health insurance (Medigap) requirements with respect to revision of the 1991 National Association of Insurance Commissioners Model Regulation to accord with this Act.
United States · United States Congress · 29 June 2000
Authorizes the Secretary of Veterans Affairs to convey a specified parcel of real property, including improvements other than Kit Carson Chapel, comprising the location of Ft. Lyon Department of Veterans Affairs Medical Center, Colorado, to the State of Colorado to utilize for purposes of a correctional facility. Prohibits the Secretary from making the conveyance unless the State agrees to provide public access to the Chapel and the cemetery located on such property. Permits the State to satisfy such condition respecting the chapel by relocating it to Ft. Lyon National Cemetery, Colorado, or another appropriate location jointly selected by the Secretary and the State. Prohibits the Secretary from making the conveyance until: (1) the date on which the Secretary opens not less than three health care facilities, and a nursing home care facility, in Veterans Integrated Service Network (VISN) 19, which shall serve as replacement facilities for the Medical Center; and (2) the Secretary completes required environmental restoration activities. Authorizes the Secretary to pay the State or any private nursing home care facility for costs incurred in providing nursing home care to any veteran who is relocated from the Medical Center as a result of the Medical Center's closure. States that the authority to pay voluntary separation incentive payments under the Department of Veterans Affairs Employment Reduction Assistance Act of 1999 to employees of the Medical Center shall apply to eligible employees whose separation occurs before June 30, 2001. Requires the Under Secretary for Health of the Department, acting through the Director of VISN 19, not later than one year after the conveyance, to submit to congressional veterans affairs committees a report on the status of the health care system for veterans under VISN in southern Colorado describing any improvements to such system in southern Colorado that have been put into effect since the date of such conveyance.
United States · United States Congress · 29 June 2000
Health Care Consumer Assistance Act - Directs the Secretary of Health and Human Services to award grants to States to enable the establishment and administration of (including the administration of programs established by States prior to the enactment of this Act) consumer assistance programs designed to provide information, assistance, and referrals to consumers of health insurance products. Authorizes appropriations.
United States · United States Congress · 29 June 2000
Geographic Adjustment Fairness Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act, with respect to the payment formula of the prospective payment system (PPS) for inpatient hospital services, to require the Secretary of Health and Human Services to adjust the proportion of each hospital's costs attributable to wages and wage-related costs (labor cost component) on the basis of the most recent data available on the hospital. (Currently the Secretary is required to make such adjustment based only on an estimate of the labor cost proportion of all hospitals involved (subsection (d) hospitals).) Exempts hospitals in Puerto Rico from the changes made by this Act.
United States · United States Congress · 29 June 2000
Medicare Adult Day Services Alternative Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for Medicare coverage of substitute adult day care services.
United States · United States Congress · 29 June 2000
Low-Income Widows Assistance Act of 2000 - Amends title XI of the Social Security Act (SSA) to direct the Commissioner of Social Security to conduct outreach efforts to increase the awareness of individuals entitled to benefits under Medicare (SSA title XVIII) of the availability of Medicare cost-sharing under Medicaid (SSA title XIX).
United States · United States Congress · 29 June 2000
Amends title XIX (Medicaid) of the Social Security Act, with regard to requirements to qualify as a disproportionate share (DSH) hospital, to waive the obstetrician requirement when it prevents DSH designation in the case of certain critical access hospitals or essential rural health care providers.
United States · United States Congress · 29 June 2000
Ryan White CARE Act Amendments of 2000 - Title I: Emergency Relief for Areas with Substantial Need for Services - Subtitle A: HIV Health Services Planning Councils - Amends the Public Health Service Act to require that an HIV (human immunodeficiency virus) planning council reflect the demographics of the population of individuals with HIV disease (currently, the demographics of the epidemic) in the eligible area involved. Modifies requirements regarding council composition, including requiring representatives of former prisoners. Requires that at least 33 percent of the council be people who: (1) are receiving HIV-related services pursuant to a grant under provisions relating to emergency relief for areas with a substantial need for services (substantial need grant); and (2) are not officers, employees, consultants, or representatives of any entity that receives substantial need grant amounts. (Sec. 102) Modifies council duties, including regarding: (1) determining the size, demographics, and needs of the HIV disease population; (2) council establishment of fund allocation priorities; and (3) coordination with Federal grantees that provide HIV-related services in the area. Directs the Secretary of Health and Human Services to: (1) develop epidemiologic measures for establishing the number of individuals with HIV disease who are not receiving HIV-related health services and for carrying out council duties; and (2) provide to the chief elected official receiving a substantial need grant guidelines and materials for training council members regarding council duties. (Sec. 103) Requires that council meetings and records be open to the public, subject to exception. Subtitle B: Type and Distribution of Grants - Makes permanent provisions requiring expedited disbursement of certain substantial need grant amounts. Requires, after fiscal year 2004, that the substantial need grant amount formula use the number of cases of HIV disease in the most recent year rather than the number of cases of acquired immune deficiency syndrome (AIDS) in the most recent ten years, but until FY 2007 conditions that change on the Secretary's determination that there is sufficiently accurate and reliable data on HIV disease cases from all eligible areas, requiring the Secretary to consider: (1) the findings of a study mandated by title V of this Act; (2) the fiscal impact of using or of not using that data; and (3) the impact of the use of that data on the organization and delivery of HIV-related services. Modifies requirements regarding increases in the amount of a substantial need grant under expedited disbursement provisions. (Sec. 112) Requires that the amount of supplemental substantial need grants be determined by the Secretary based on a weighting of specified factors, with severe need counting one-third. Includes the current HIV disease prevalence, an increasing need for services, and unmet need for services as factors the Secretary must consider in determining severe need. Directs the Secretary, in determining the required factors, to develop a mechanism to use national, quantitative incidence data by 18 months after enactment of this Act (currently, by May 20, 1998). Requires mechanism modification based on the findings of a study mandated by title V of this Act. Removes provisions basing the amount of substantial need grants on substantial need grant applications. Subtitle C: Other Provisions - Requires that substantial need grant funds be used, among other purposes, for: (1) outreach to identify individuals with HIV disease who are not receiving HIV-related services; and (2) early intervention services. Requires that substantial need grants be used to provide health and support services to infants, children, youth, and women (currently, infants, children, and women) with HIV disease in the same ratio as those groups with HIV disease bear to those groups in the general population. Requires that the chief elected official of a substantial need grant-receiving area establish a quality management program to assess whether HIV health services under the substantial need grant are consistent with the most recent Public Health Service guidelines. (Sec. 123) Requires that official to ensure that the area's planning council: (1) reviews existing, available data on expenditures by substantial need grant recipient entities from their overall budget for administrative costs; and (2) makes a determination whether the financial compensation of any of those entity's officers or employees exceeds that of the official. Title II: Care Grant Program - Subtitle A: General Grant Provisions - Requires that grants to States to improve the quality, availability and organization of health care and support services for individuals with HIV disease (care grants) be used to provide health and support services to infants, children, youth, and women (currently, infants, children, and women) with HIV disease in the same ratio as those groups with HIV disease bear to those groups in the general population. (Sec. 202) Allows care grants to be used for support services, outreach activities, early intervention, and quality management. (Sec. 203) Modifies requirements regarding grants to establish HIV care consortia. (Sec. 204) Allows a State to meet a requirement to use a portion of its care grant to provide therapeutics to treat HIV disease or prevent related health deterioration (including prevention and treatment of opportunistic infections) by paying for health insurance or plans whose coverage includes a full range of such therapeutics and primary care. (Sec. 205) Requires care grant applications to contain determinations of the size, demographics, and needs of the population of individuals with HIV disease in the State. Modifies requirements regarding the comprehensive plan. Requires the public health agency that administers care grants for a State to engage in a public advisory planning process. (Sec. 206) Doubles, subject to appropriations, the minimum care grant allotment to each State and U.S. territory. Requires, after fiscal year 2004, that the care grant amount formula use the number of cases of HIV disease in the most recent year rather than the number of cases of acquired immune deficiency syndrome (AIDS) in the most recent ten years, but until FY 2007 conditions that change on the Secretary's determination that there is sufficiently accurate and reliable data on HIV disease cases. Provides for increases in the formula amount. Requires, if an appropriations Act provides an amount exclusively for treatment drug grants, that two percent of that exclusive amount be reserved for supplemental grants to States whose HIV population's need is greater than the quantities available under treatment drug grants from the remaining unreserved 98 percent. Adds the Federated States of Micronesia and the Republic of Palau to the list of U.S. territories. Adds the Commonwealth of Puerto Rico to the list of territories for minimum allotment provisions but keeps it in the list of States for other care grant provisions. (Sec. 207) Replaces provisions mandating coordination by specified Federal agencies of Federal HIV programs with provisions directing the Secretary to make grants to States to supplement care grants for comprehensive services for communities that have a severe need for supplemental financial assistance to combat the HIV epidemic. Provides for funding for the supplemental grants. Subtitle B: Provisions Concerning Pregnancy and Perinatal Transmission of HIV - Removes provisions prohibiting (after testing of pregnant women and newborns has become a routine practice in U.S. health care) care grants to a State unless the State meets certain requirements regarding such testing. (Sec. 212) Adds HIV disease treatment services to the uses for which the Secretary may make a grant to a State that is following the recommendations of the Centers for Disease Control and Prevention (CDC) regarding HIV counseling and voluntary testing for pregnant women. Authorizes appropriations. Prohibits using care grant appropriations for grants under this section. (Sec. 213) Directs the Secretary to provide for a study and report to appropriate congressional committees regarding: (1) the number of newborns with HIV born in the United States in the most recent year for which the information is available; (2) barriers that prevent or discourage an obstetrician from routinely offering pregnant women an HIV test and routinely testing newborns when the mother's HIV status is unknown; and (3) recommendations for each State for reducing perinatal HIV transmission. Requires States to make reasonable progress toward meeting the recommendations. Subtitle C: Certain Partner Notification Programs - Authorizes the Secretary to make grants to States for partner counseling and referral services, provided the State meets certain requirements regarding: (1) partner notification and (for the partner and the infected individual) testing, counseling, and referral; (2) health entity reporting of positive test results to the State; (3) reporting to the CDC regarding partner notification; and (4) State cooperation with the CDC national partner notification. Prohibits grants to a State after fiscal year 2003 unless the State's reporting system for HIV cases produces sufficiently accurate and reliable data. Authorizes appropriations. Title III: Early Intervention Services - Subtitle A: Formula Grants for States - Repeals provisions mandating formula grants to States for outpatient early intervention services regarding HIV disease. Subtitle B: Categorical Grants - Requires giving preference to rural or underserved areas in making currently-authorized categorical grants for outpatient early intervention services. Allows planning grants to be used, subject to limitation, to assist the recipients to expand their capacity to provide services, including early intervention services, in low income communities and affected subpopulations that are underserved. Subtitle C: General Provisions - Requires that the counseling that categorical grant recipients are required to provide to HIV-infected individuals emphasize that it is the duty of infected individuals to disclose their status to their sexual and needle-sharing partners, provide advice on how to make the disclosures and emphasize that it is the infected individual's continuing duty to avoid behaviors that expose others to HIV. (Sec. 322) Increases the percentage limit on administrative expenses. Requires recipients to establish a quality management program to assess the extent to which medical services are consistent with Public Health Service guidelines for treatment of HIV disease and related opportunistic infections. Title IV: Other Programs and Activities - Subtitle A: Certain Programs for Research, Demonstrations, or Training - Replaces a requirement that, with regard to grants for providing opportunities for women, infants, children, and youth to participate in HIV research and for providing to those groups outpatient health care and additional services, that a significant number of individuals in those groups be participating in research with a requirement that the grant applicant demonstrate linkages to research and how access to research is being offered to patients. Directs the Secretary to examine the distribution and availability of research regarding grantees to enhance and expand HIV-related research, especially in underrepresented communities. Requires grantees to implement a quality management program. Authorizes appropriations. (Sec. 402) Includes, as a use of currently-authorized grants and contracts for training health personnel: (1) training in prenatal and other gynecological care for women with HIV disease; and (2) developing protocols for the medical care of such women. Directs the Secretary to implement a strategy for the dissemination of HIV treatment information to care providers and patients. Adds accredited dental hygiene programs as possible recipients of currently-authorized grants with respect to oral health care to (sic) patients with HIV disease. Authorizes appropriations. Authorizes grants to dental schools, post-doctoral dental education programs, and accredited dental hygiene programs that partner with community-based dentists to provide care to HIV patients in underserved areas. Authorizes appropriations. Authorizes appropriations for grants and contracts to assist public and nonprofit private entities and schools and academic health science centers to train health personnel, train faculty, and develop and disseminate curricula and resource materials regarding the care of HIV patients and prevention of HIV infection among at risk individuals. Subtitle B: General Provisions in Title XXVI - Extends the authorization of appropriations for grants and contracts to evaluate programs carried out under title XXVI of the Public Health Service Act (HIV Health Care Services Program). (Sec. 412) Authorizes appropriations for collecting and providing data for program planning and evaluation under title XXVI. (Sec. 413) Adds the Substance Abuse and Mental Health Services Administration and the Health Care Financing Administration to the list of agencies (currently, the Health Resources and Services Administration and the Centers for Disease Control and Prevention) charged with coordinating the planning, funding, and implementation (currently, coordinating the planning of the funding) of Federal HIV programs to enhance continuity of care and prevention services (currently, continuity of care). Requires that State, local, or private entities receiving title XXVI funds enhance continuity of care and prevention services (currently, continuity of care). (Sec. 414) Directs the Secretary to develop and submit to Congress a plan for the medical case management of and the provision of support services to individuals who had HIV disease on their date of release from the Federal or State penal system. (Sec. 415) Authorizes the Secretary to reduce title XXVI grants to a State or political subdivision if the State or subdivision fails to prepare audits. (Sec. 416) Directs the Secretary to: (1) develop and submit to Congress a plan for coordinating the disbursement of appropriations for substantial need grants with the disbursement for care grants; (2) within two years after enactment of this Act, implement the disbursement plan, notwithstanding any title XXVI provision inconsistent with the plan; (3) determine whether administration of those grants by the Secretary and grantee compliance efficiency would be improved by requiring biennial rather than annual applications; (4) develop and submit to Congress a plan for simplifying the application process for those grants; and (5) within two years after enactment of this Act, implement the simplified application plan, notwithstanding any title XXVI provision inconsistent with the plan. (Sec. 417) Removes provisions directing the Secretary to develop and implement a method for adjusting the percentages allocated to substantial need grants and care grants to account for substantial need grants to new areas and other relevant factors. Authorizes appropriations for substantial need and care grants. Title V: General Provisions - Directs the Secretary to provide for studies, and report to the appropriate congressional committees, on: (1) whether the surveillance system of each State provides for the reporting of HIV infection cases in a way that provides information on the number and demographic characteristics of the cases that is sufficiently accurate for the formula grants under substantial need and care grant provisions and, if not, recommendations for improvements; and (2) the appropriate epidemiological measures and their relationship to the financing and delivery of primary care and health related support services for low income, uninsured, and underinsured individuals with HIV disease. (Sec. 502) Requires the Director of the National Institutes of Health (NIH) to expand, intensify, and coordinate research and other NIH activities regarding development of reliable and affordable HIV tests that can be rapidly administered and whose results can be rapidly obtained (rapid HIV tests). Authorizes appropriations. Directs the Secretary: (1) to report to appropriate congressional committees on the progress made toward, and barriers to, the premarket review and commercial distribution of rapid HIV tests; and (2) promptly after rapid HIV test commercial distribution begins, to establish or update guidelines for States, hospitals, and other entities regarding the availability of those tests for administration to pregnant women in labor or late stage pregnancy and whose HIV status is unknown. (Sec. 503) Directs the Secretary, of the amounts available to the Secretary for program management at the Health Resources and Services Administration, to spend amounts necessary to ensure at least a 20 percent increase in fiscal year 2001 over fiscal year 2000 of full- time-equivalent staff of the Bureau of HIV/AIDS who administer programs under title XXVI. Title VI: Effective Date - Sets forth the effective dates for this Act and its amendments.
United States · United States Congress · 29 June 2000
Low-Income Widows Assistance Act of 2000 - Amends title XI of the Social Security Act (SSA) to direct the Commissioner of Social Security to conduct outreach efforts to increase the awareness of individuals entitled to benefits under Medicare (SSA title XVIII) of the availability of Medicare cost-sharing under Medicaid (SSA title XIX).
United States · United States Congress · 29 June 2000
Recognizes the 60th anniversary of the U.S. nonrecognition policy of the Soviet takeover of the Baltic states and the contribution that policy made in supporting the aspirations of the people of Estonia, Latvia, and Lithuania to reassert their freedom and independence. Commends Estonia, Latvia, and Lithuania for the reestablishment of their independence and the role they played in the disintegration of the former Soviet Union in 1990 and 1991, and for their success in implementing political and economic reforms. Expresses support for regional cooperation in Northern Europe among the Baltic and Nordic states and the Russian Federation. Calls for further cooperation in addressing common environmental, law enforcement, and public health problems, and in promoting civil society and business and trade development, and similar efforts that promote a peaceful, democratic, prosperous, and secure future for Europe, Russia and the Nordic-Baltic region.
United States · United States Congress · 28 June 2000
Medicare Prescription Drug and Modernization Act of 2000 - Title I: Medicare Management and Administration - Subtitle A: Establishment of the Competitive Medicare Agency - Amends the Social Security Act (SSA) to add a new title XXII (Medicare Competition and Prescription Drugs) to establish, as an independent agency in the executive branch, a Medicare Competition Agency, headed by a Commissioner, to administer the Medicare Prescription Drug and Supplemental Benefit Program (program) under part B (established by title II of this Act) and the Medicare+Choice program under part C (Medicare+Choice) of SSA title XVIII (Medicare). (Sec. 101) Establishes a Medicare Competition and Prescription Drug Advisory Board. Authorizes appropriations. (Sec. 102) Amends SSA title XVIII to make the Commissioner a member of the Board of Trustees of the Medicare trust funds. (Sec. 103) Amends Federal civil service law to provide for a salary increase for the Administrator of the Health Care Financing Administration (HCFA). Subtitle B: Redefined Medicare Solvency Measures - Amends SSA title XVIII to require the Board of Trustees to make a separate annual report on the operation and status of the Federal Hospital Insurance Trust Fund under Medicare part A (Hospital Insurance) and on the Federal Supplementary Medical Insurance Trust Fund under Medicare part B (Supplementary Insurance), including the Medicare Prescription Drug Account (created by title II of this Act) within it. (Sec. 151) Expresses the sense of Congress that the committees of jurisdiction shall hold hearings on such reports. Title II: Medicare Prescription Drug and Supplemental Benefit Program - Amends SSA title XXII to add a new part B (Medicare Prescription Drug and Supplemental Benefit Program) requiring the Commissioner to establish the Medicare Prescription Drug and Supplemental Benefit Program under which an eligible beneficiary may voluntarily enroll in, and receive access to covered outpatient prescription drugs and other benefits through, a Medicare Prescription Plus plan (plan) offered by a private entity or by a Medicare+Choice plan. Makes the costs of providing program benefits payable from the Medicare Prescription Drug Account. (Sec. 201) Outlines program procedures, including procedures for: (1) enrollment; (2) a Commissioner study and report to Congress on permitting individuals enrolled under Medicare part B but not entitled to benefits under Medicare part A to buy into the program; (3) plan election; (4) beneficiary outreach; (5) application of Medicare+Choice secondary payor requirements to the program in the same manner as they apply under the Medicare+Choice program; (5) alternative coverage requirements; (6) access to negotiated prices; (7) actuarial valuation and determination of annual percentage increases; (8) beneficiary protections, including grievance resolution; (9) requirements for entities offering plans, including licensure; (10) submission and approval of plans; (11) payments to plans for benefits; (12) computation and collection of beneficiary share of premium; (13) additional prescription drug subsidies through reinsurance; (14) plan fees for administrative costs; and (15) creation and use of the Medicare Prescription Drug Account. (Sec. 202) Revises requirements for the Federal Supplementary Medical Insurance Trust Fund to comply with this Act. (Sec. 203) Amends SSA title XVIII part C to prohibit a Medicare+Choice organization from offering prescription drug coverage to a Medicare+Choice plan enrollee unless such drug coverage is at least qualified prescription drug coverage under this Act, and unless specified requirements for such coverage are met. (Sec. 204) Amends SSA title XIX (Medicaid) to require a State, as a condition for receiving Federal financial assistance for its Medicaid plan, to make Medicare prescription drug benefit eligibility determinations for low-income premium and cost-sharing subsidies. Mandates specified increases in applicable Federal matching rates for State expenditures for additional administrative costs. Provides for phased-in Federal assumption of Medicaid prescription drug costs in the case of an individual dually entitled to qualified prescription drug coverage under a Medicaid plan or under a Medicare+Choice plan under Medicare part C. (Sec. 205) Prohibits any new Medigap policy covering prescription drugs from being issued, on or after January 1, 2003, to an individual unless it replaces a Medigap policy that was issued to that individual and that provided some coverage of expenses for prescription drugs. Prohibits the issuer of a Medigap policy from denying or conditioning Medigap coverage for an individual who terminates certain kinds of Medigap policies and applies for certain other kinds. Amends SSA title XVIII (Medicare) to establish Medigap protections for individuals who lose Medicare prescription plus plan coverage. (Sec. 206) Directs the Comptroller General to study and report to Congress on the extent to which reimbursement for drugs and biologicals under the current Medicare payment methodology overpays for the cost of such drugs and biologicals compared to the average acquisition cost paid by physicians or other drug suppliers. Title III: Medicare+Choice Reforms - Amends Medicare part C with respect to: (1) increasing in national per capita Medicare+Choice growth percentage in 2001 and 2002; (2) removing application of budget neutrality beginning in 2002; (3) payments to Medicare+Choice organizations based on risk-adjusted bids; (4) premium reduction and Medicare+Choice monthly supplemental beneficiary premium; (5) rules relating to premiums owed by Medicare+Choice enrollees; (6) allowing plans to include described reductions and other benefits in their basic benefits; (7) a special rule for end-stage renal disease; (8) information comparing plan premiums; (9) national coverage determinations; (10) disclosure requirements; (11) geographic adjustment; (12) Medicare+Choice monthly basic beneficiary premium; (13) a freeze of the health risk adjuster at 20 percent after 2002; and (14) adjustment in payment to include the Commissioner's estimate of the amount of additional payments that would have been made in the area involved if individuals entitled to Medicare+Choice benefits had not received services from facilities of the Departments of Veterans Affairs or of Defense for purposes of calculating annual Medicare+Choice capitation rates. Title IV: Medicare Beneficiary Outreach and Education - Amends SSA title XXII to add a new part C (Medicare Consumer Coalitions) authorizing the Commissioner of the Competitive Medicare Agency to establish Medicare Consumer Coalitions to conduct information programs comparing the original Medicare fee-for-service program, available Medicare+Choice plans, and available Medicare Prescription Plus plans. Authorizes appropriations.
United States · United States Congress · 28 June 2000
Children's Research Protection Act - Directs the Secretary of Health and Human Services to: (1) review the regulations concerning the protection of children participating as subjects in research and report to the Congress; (2) require, within six months of enactment, all research involving children that is conducted, supported, or regulated by the Department of Health and Human Services to be in compliance with such regulations; (3) award grants to qualified academic research institutions and research networks with the appropriate expertise to provide training in pediatric clinical pharmacology; and (4) establish a program to enter into contracts with qualified individuals who hold an M.D. under which such individuals agree to undergo training in, and practice, pediatric pharmacology. Authorizes appropriations.
United States · United States Congress · 28 June 2000
Sets forth the rule for the consideration of H.R. 1304 (antitrust law application to negotiations between health care professionals and health plans and insurance issuers).
United States · United States Congress · 27 June 2000
Medicare Guaranteed and Defined Rx Benefit and Health Provider Relief Act of 2000 - Title I: Medicare Prescription Medicine Benefit Program - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Prescription Medicine Benefit for the Aged and Disabled) which establishes a voluntary insurance program to provide defined prescription medicine benefits, including pharmacy services, for eligible individuals who are aged or disabled or who have end-stage renal disease, and who voluntarily elect to enroll. States that the program shall be financed from enrollee premium payments together with contributions from funds appropriated by the Federal Government. (Sec. 101) Requires the Secretary of Health and Human Services (HHS) to submit to Congress a legislative proposal for: (1) the delivery of home infusion therapy services under Medicare; and (2) a system of payment for such a benefit that coordinates items and services furnished under Medicare parts B (Supplementary Medical Insurance) and D. Creates within the Federal Supplemental Medical Insurance Trust Fund the Prescription Medicine Insurance Account. Directs the Secretary to provide for administration of part D benefits through a private benefit administrator for certain enrolled individuals residing in each geographic service area or, where that is impossible, with a fiscal intermediary under Medicare part A (Hospital Insurance) or a carrier under Medicare part B. Requires the Secretary to: (1) ensure that all beneficiaries have guaranteed access to the full range of pharmaceuticals under part D, with special attention to access, pharmacist counseling, and delivery in rural and hard-to-serve areas, including use of incentives such as bonus payments to retail pharmacists in rural areas and extra payments to the benefit administrator for the cost of rapid delivery of pharmaceuticals; and (2) develop and implement the Employer Incentive Program that encourages employers and other sponsors of employment-based health care coverage who meet specified requirements to provide adequate prescription medicine benefits to retired individuals, and maintain existing benefit programs, by subsidizing, in part, the cost of providing coverage under qualifying plans. Provides for part D enrollment for individuals whose employment-based retiree health coverage ends under certain conditions. Authorizes appropriations. (Sec. 102) Amends SSA title XIX (Medicaid), with regard to the prescription medicine benefit for certain low-income individuals, to provide for coverage of part D premiums as medical assistance for individuals dually eligible for other SSA assistance or for other medical care. Requires State Medicaid plans to provide that, in the case of any individual whose eligibility for medical assistance is not limited to Medicare or Medicare medicine cost-sharing, and for whom the State elects to pay monthly premiums under part D, the State will purchase all prescription medicines for such individual in accordance with the provisions part D, without regard to whether the basic benefit limitation for such individual has been reached. Requires Government payment of Medicare medicine cost-sharing for qualified Medicare beneficiaries and for Medicare beneficiaries with incomes between 100 and 150 percent of the Federal poverty line. Amends SSA title XVIII part D to outline special eligibility, enrollment, and copayment rules for low-income individuals, which include options for continuation of Medicaid coverage or enrollment under such part. (Sec. 103) Provides that if the mid-summer 2000 budget estimate prepared by the Director of the Congressional Budget Office results in a higher-than-projected level of projected on-budget surplus over the ten fiscal year period beginning with FY 2001, there shall be (beginning with FY 2003) transfers to the Prescription Medicine Insurance Account in a fiscal year to offset the costs attributable to provisions added to Medicare by this Act that relate to catastrophic benefit payments in that fiscal year. (Sec. 104) Directs the Comptroller General of the United States to analyze and report to Congress on an ongoing basis about the part D prescription medicine benefit program. Directs the Secretary to: (1) report to Congress on possible tax and trade law changes to encourage increased original research on new pharmaceutical breakthrough products designed to address disease and illness; (2) study and report to Congress on methods used by the pharmaceutical industry to advertise and sell to consumers and to educate and sell to providers; and (3) study and report to Congress on the costs of, and needs for, pharmaceutical research, and the role that the taxpayer provides in encouraging such research. Requires the Secretary to report to Congress on the retail price of major pharmaceutical products in various developed nations, compared to prices for the same or similar products in the United States. Title II: Improvement In Beneficiary Services - Subtitle A: Improvement of Medicare Coverage and Appeals Process - Amends SSA title XVIII to revise requirements with respect to Medicare determinations and appeals, including initial determinations, expedited determinations, and publication on the Internet of decisions of hearings of the Secretary. (Sec. 201) Amends SSA title XVIII part C (Medicare+Choice) to apply the limitations on liability of qualified independent contractors to certain Medicare+Choice independent contractors who conduct reconsiderations of initial determinations. (Sec. 202) Amends SSA title XVIII to limit the liability of beneficiaries for repayment with respect to Medicare claims not paid or paid incorrectly. Includes in the explanation of Medicare benefits statement lists of each item or service furnished and the amount of the individual's liability for payment, as well as the toll-free telephone number for information and questions concerning the statement, individual liability for payment, and appeal rights. (Sec. 203) Amends SSA title XI to revise the meaning of waiver of coinsurance and deductible amounts (excluded from the meaning of unlawful remuneration subject to civil monetary penalties) to include a waiver offered as part of a supplemental insurance policy or retiree health plan. Subtitle B: Establishment of Medicare Ombudsman - Establishes a Medicare Ombudsman within the Health Care Financing Administration of the HHS Department to: (1) receive complaints, grievances, and requests for information submitted by a Medicare beneficiary concerning the Medicare program; and (2) provide assistance with respect to such complaints, grievances, and requests. Title III: Medicare+Choice Reforms; Preservation of Medicare Part B Drug Benefit - Subtitle A: Medicare+Choice Reforms - Amends SSA title XVIII part C with regard to calculation of annual Medicare+Choice capitation rates to: (1) reduce the national per capita Medicare+Choice growth percentage for 2001 and 2002; (2) remove permanently application of budget neutrality beginning in 2002; (3) increase the minimum payment amount for 2002; (4) increase the update for payment areas with only one or no Medicare+Choice contracts; and (5) permit higher negotiated rates in certain Medicare+Choice payment areas below the national average. (Sec. 307) Amends SSA title XVIII part C to provide for a ten year phase-in of the risk adjustment to the capitation rate based on data from all settings. Subtitle B: Preservation of Medicare Coverage of Drugs and Biologicals - Amends SSA title XVIII to: (1) cover under Medicare part B injectable and infusable drugs and biologicals which are not usually self-administered by the patient (currently only drugs and biologicals which cannot be self-administered are covered under Medicare part B); and (2) revise Medicare coverage for immunosuppressive drugs, establishing a part D catastrophic limit on part B copayments for such drugs. Subtitle C: Improvement of Certain Preventive Benefits - Amends SSA title XVIII to allow coverage of annual screening pap smear and pelvic exams. Title IV: Adjustments to Payment Provisions of the Balanced Budget Act - Subtitle A: Payments for Inpatient Hospital Services - Amends SSA title XVIII to eliminate the reduction in the hospital market basket update for FY 2001. (Sec. 402) Eliminates specified further reductions in indirect medical education (IME) and in disproportionate share hospital (DSH) payments (and freezes Medicaid DSH payments) for FY 2001. (Sec. 404) Revises the formula for the increase in base payment to certain Puerto Rico hospitals for inpatient hospital discharges. Subtitle B: Payments for Skilled Nursing Services - Amends SSA title XVIII to eliminate the reduction in the skilled nursing facility (SNF) market basket update for FY 2001. (Sec. 412) Extends through 2002 the moratorium on therapy caps. Subtitle C: Payments for Home Health Services - Amends SSA title XVIII to delay for one more year the application of the 15 percent reduction on payment limits for home health services. (Sec. 422) Applies the full market basket update for home health services for FY 2001. Subtitle D: Rural Provider Provisions - Amends SSA title XVIII to eliminate the scheduled reduction in hospital outpatient market basket increase for rural hospitals in 2001 and 2002. Subtitle E: Other Providers - Amends SSA title XVIII to increase the update in the renal dialysis composite rate. Subtitle F: Provision for Additional Adjustments - Provides for specified aggregate amounts from estimated Social Security surpluses for the five fiscal year and ten fiscal year periods beginning in FY 2001 for additional improvements to the Medicare and Medicaid programs and payments to providers.
United States · United States Congress · 27 June 2000
Telehealth Improvement and Modernization Act of 2000 - Revises the Balanced Budget Act of 1997 to: (1) revise telehealth payment methodology; (2) eliminate certain fee-sharing requirements; (3) eliminate the requirement for a telepresenter; (4) revise reimbursement guidelines for Medicare beneficiaries who do not reside in a health professional shortage area to include eligible telehealth beneficiaries; (5) modify telehealth coverage for direct patient care; (6) redefine physicians and practitioners eligible for telehealth reimbursement; (7) include certain store-and-forward technologies in Federal telemedicine demonstration programs in Alaska or Hawaii; and (8) permit a home health agency to furnish a home health service via a telecommunications system under certain conditions.
United States · United States Congress · 27 June 2000
Pharmaceutical Products Price Equity Act - Directs the President to issue such orders and regulations, and establish such procedures and reporting requirements, as the President determines to be appropriate to ensure that no pharmaceutical product is sold to any consumer in the United States at a price that is more than six percent above the average retail price at which such pharmaceutical product is sold in the five most industrialized, free-market countries, other than the United States. Sets forth enforcement and civil liability provisions. Authorizes appropriations.
United States · United States Congress · 27 June 2000
Truth in Regulating Act of 2000 - Provides that when a Federal agency publishes an economically significant rule, a chairman or ranking member of a committee of jurisdiction of either House of Congress may request the Comptroller General to review such rule. Defines "economically significant rule" to mean any proposed or final rule, including an interim or direct final rule, that may have an annual effect on the economy of $100 million or more or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Requires the Comptroller General to submit a report on each rule reviewed, including an independent evaluation of the agency's analysis of the costs and benefits, and alternative approaches in the notice of proposed rulemaking and in the rulemaking record, as well as of any regulatory impact analysis, federalism assessment, or other analysis or assessment prepared by the agency or required for the rule, and the results of the evaluation and the implication of those results. Grants the Comptroller General discretion to develop procedures for determining the priority and number of requests for review. Authorizes appropriations for FY 2000 through 2002. Provides for the pilot project established under this Act to continue for a three-year period, if specified appropriations are provided. Requires the Comptroller General to report to Congress on such project's effectiveness and on whether it should be authorized permanently.
United States · United States Congress · 27 June 2000
Directs the United States Trade Representative (USTR) to enter into negotiations with the Governments of the other G-8 countries (Canada, France, Germany, Great Britain, Italy, Japan, Russia, and the United States) in order to achieve their agreement to eliminate price controls on innovative medicines and the unfair trade practices that result from the application of price controls. Declares that, if within 12 months negotiations have not achieved such objectives, the USTR shall recommend to Congress the most effective measures (including those specified by the Trade Act of 1974) for eliminating the disparity between the price of prescription drugs in the United States and the price of prescription drugs in the other G-8 countries, with the goal of reducing the price of prescription drugs for U.S. consumers. Requires recommended measures to be of a nature and amount that fully reflect the economic harm inflicted on patients and health care in the United States, and the harm inflicted on the U.S. economy when countries pay the country specific marginal costs of prescription drugs and let the United States cover the research and development costs of innovative prescription drugs.
United States · United States Congress · 27 June 2000
Expresses the sense of the House of Representatives that: (1) the Federal Government has a responsibility to increase research funding to find a treatment and cure for polycystic kidney disease, to raise awareness about such disease, and to promote kidney organ donations; (2) all Americans should review their kidney health condition; and (3) organizations and health care providers should promote awareness of such disease and encourage its early detection.
United States · United States Congress · 27 June 2000
Expresses the sense of the House of Representatives that the House shall: (1) promptly assess the budgetary implications of mid-year reestimates by the Congressional Budget Office of non-social security surplus funds; and (2) provide for appropriate adjustments to the Medicare program under title XVIII of the Social Security Act.
United States · United States Congress · 26 June 2000
21st Century Law Enforcement and Public Safety Act - Title I: Supporting Local Law Enforcement and Promoting Crime-Fighting Technologies - Expands the purpose of the COPS (public safety and community policing) program to increase the number of prosecutors as well as police. Authorizes grants for underserved rural areas of less than 25,000 people. Supports the creation or expansion of community-based justice programs. Extends the Bulletproof Vest Partnership Grant Act. Integrated Information Technology Assistance Act of 2000 - Authorizes grants and technical assistance to, or contracts with, public agencies, Indian tribal governments, private entities, and international agencies for the development, implementation, and improvement of justice information systems to achieve greater integration and improved information sharing among criminal justice agencies. Authorizes the Director of the Federal Bureau of Investigation to expand the Combined DNA Identification System to include information from missing persons and criminal offenses and acts of juvenile delinquency committed under Federal law, the Uniform Code of Military Justice, and the District of Columbia Code. Title II: Breaking the Cycle of Drugs and Violence - Subtitle A: Zero Tolerance Drug Supervision - Authorizes the Attorney General to make grants for programs that support: (1) developing and implementing comprehensive drug testing policies and practices with regard to criminal justice populations; and (2) establishing appropriate interventions to illegal drug use for offender populations. Reestablishes drug courts. Subtitle B: Anti-Drug Provisions - Requires the Secretary of Transportation to withhold funds from any State that has not enacted and is not enforcing a law that considers as intoxicated a driver with an alcohol concentration level of 0.08 percent or greater. Drug-Free Teenage Drivers Act - Directs the National Highway Traffic Safety Administration to establish a demonstration program in several States to provide drug testing for all teenaged applicants (or other first time applicants) for a driver's license. Subtitle C: Anti-Drug and Organized Crime Money Laundering Act - Provides that for purposes of proving a violation of provisions involving an illegal money transmitting business, it shall be sufficient for the Government to prove that the defendant knew that the business lacked a license required by State law or failed to comply with money transmitting business registration requirements. Sets forth provisions regarding restraint of assets of persons arrested abroad and long-arm jurisdiction over foreign money launderers. Includes a foreign bank within the definition of "financial institution" for purposes of money laundering provisions. Expands the definition of "specified unlawful activity" to cover certain listed offenses, including, with respect to a financial transaction occurring in the United States, an offense against a foreign nation involving a crime of violence, fraud, bribery of a public official, smuggling or export control violations involving munitions, and an offense under which the United States would be obligated by a multilateral treaty either to extradite the alleged offender or to submit the case for prosecution if the offender were found within U.S. territory. Sets forth provisions regarding criminal forfeiture for money laundering, venue, bulk cash smuggling, and penalties for violations of geographic targeting orders and record-keeping requirements. Title III: Fighting Terrorism and International Crime - Subtitle A: Investigating and Punishing Violent Crimes Against U.S. Nationals Abroad - Prohibits: (1) extortion against U.S. nationals abroad in furtherance of organized crime; and (2) murder or serious assault of a State or local law enforcement, judicial, or other official abroad. Subtitle B: Strengthening the Air, Land and Sea Borders of the United States - Provides for the death penalty under specified circumstances involving violence committed along the U.S. border. Subtitle C: Denying Safe Haven to International Criminals - Provides for extradition for offenses not covered by a list treaty, or absent a treaty, under specified circumstances. Excludes from entry into the United States persons involved in international alien smuggling. Subtitle D: Seizing and Forfeiting the Assets of International Criminals - Authorizes the U.S. Customs Service to examine outbound mail for contraband. Provides for forfeiture of property used to violate Federal explosives laws. Subtitle E: Responding to Emerging International Crime Threats - Provides for U.S. jurisdiction over certain financial crimes committed abroad. Subtitle F: Promoting Global Cooperation in the Fight Against International Crime - Establishes procedures for execution of mutual legal assistance requests. Authorizes training of foreign law enforcement agencies for anti-terrorism purposes. Subtitle G: Streamlining the Investigation and Prosecution of International Crimes in U.S. Courts - Authorizes: (1) Federal reimbursement of State and local law enforcement agencies in international crime cases; and (2) granting safe conduct for foreign witnesses testifying in U.S. courts. Prohibits fugitives from benefitting from time served abroad. Authorizes the suspension of statutes of limitations for the collection of evidence located abroad. Subtitle H: Terrorism - Prohibits specified conduct with respect to biological agents, toxins, and delivery systems. Rail and Mass Transportation Anti-Terrorism and Violence Prevention Act of 2000 - Prohibits specified terrorist attacks and other acts of violence against railroad carriers and mass transportation systems. Title IV: Protecting Americans and Supporting Victims of Crime - Subtitle A: Violence Against Women - Reauthorizes certain Violence Against Women Act programs. Comprehensive Anti-Trafficking in Persons Act of 2000 - Directs the Secretary of State to establish mechanisms to measure and evaluate global progress in reducing trafficking. Urges the President to promote economic opportunities for women and establish or expand interagency procedures to collect and organize data, including significant research and resource information on domestic and international trafficking in persons. Creates a new "T" non- immigrant visa classification for certain aliens possessing material information concerning unlawful activity. Authorizes assistance to victims of trafficking without regard to immigration status. Establishes new prohibitions against trafficking and criminal exploitation of workers and unlawful possession of documents in furtherance of trafficking, criminal worker exploitation, involuntary servitude, or peonage. Subtitle B: Children Exposed to Violence - Directs the U.S. Sentencing Commission to provide a sentencing enhancement for violent crimes committed in the presence of children. Subtitle C: Victims Assistance - Expands U.S. jurisdiction over child buying and selling offenses. Subtitle D: Health Care Fraud and Abuse - Directs the Sentencing Commission to study and report on health care fraud sentences. Nursing Home Abuse and Neglect Prevention and Punishment Act of 2000 - Prescribes punishment and fines for engaging in a pattern of violations resulting in harm to residents of nursing homes and related facilities. Subtitle E: Consumer Fraud - Provides for the blocking or termination of service in cases of telemarketing scams. Subtitle F: Pension-Welfare and Labor-Management Racketeering Act - Prescribed fines and terms of imprisonment for: (1) fraud in relation to retirement arrangements; and (2) bribery and graft in connection with employee benefit plans. Provides for forfeiture for retirement offenses. Subtitle G: Environmental Crimes and Enforcement Act - Provides for reimbursement by a person convicted of Federal environmental crimes of State, local, or tribal government costs for assistance in Federal investigation and prosecution of such crimes. Establishes within the Environmental Protection Agency a State, local, and tribal environmental enforcement training program. Sets a five year statute of limitations for felony environmental crimes, with exceptions. Provides for environmental crime restitution or remediation. Subtitle H: Hate Crimes Prevention Act - Hate Crimes Prevention Act of 2000 - Prescribes punishment to be imposed for certain acts of violence committed because of actual or perceived race, color, religion, or national origin of the victim. Title V: Strengthening Federal Criminal Laws to Combat Violent and White-Collar Crime - Subtitle A: Bolstering Federal Law to Fight Violent Crime and Apprehend Dangerous Fugitives - Authorizes the Attorney General to subpoena witnesses to produce records relevant to an investigation regarding apprehension of a fugitive. Subtitle B: Combatting Crime and Improving Operations in Correction Facilities - Increases penalties and expands jurisdiction for sexual abuse and contraband offenses in correctional facilities. Removes wiretap restrictions from prison communications. Subtitle C: Improvements in Federal Law Relating to White Collar Crime - Eliminates the proof of value requirement for felony theft or conversion of grand jury material. Provides for forfeiture of computers and other devices used for counterfeiting. Increases the maximum corporate penalty for antitrust violations. Subtitle D: Federal Law Enforcement Programs - Authorizes executive agencies, under certain circumstances, to pay extended assignment incentives for civil service positions in U.S. territories, commonwealths, or possessions. Subtitle E: Improvements to Federal Sentencing Laws - Rewrites provisions regarding credit for prior custody. Expands a provision allowing for release of non- dangerous offenders who have served at least 30 years in prison who are at least 70 years old.
United States · United States Congress · 26 June 2000
Seniors Health Care Empowerment Act of 2000 - Directs the Secretary of Health and Human Services to establish demonstration projects in designated areas under which a Medicare Consumer Coalition (MCC) is formed to: (1) conduct programs to prepare, make available, and disseminate to Medicare (title XVIII of the Social Security Act (SSA)) beneficiaries comprehensive and understandable information with respect to enrollment in a Medicare+Choice plan (SSA title XVIII part C) and a Medicare supplemental health insurance (Medigap) policy; and (2) negotiate with Medicare+Choice plans and, to the extent practicable, Medigap policies in the interest of improving benefits and reducing payments for MCC members.
United States · United States Congress · 26 June 2000
Drug Availability and Health Care Access Improvement Act of 2000 - Title I: Medicaid Prescription Drug Coverage for Low-Income Medicare Beneficiaries - Amends title XIX (Medicaid) of the Social Security Act (SSA) to require State Medicaid plans to cover prescribed drugs for qualified Medicare (SSA title XVIII) and other low-income Medicare beneficiaries. Provides full Federal funding for such Medicaid coverage. Title II: Improved Access of Americans to Health Insurance Coverage - Subtitle A: Access of Medicare Beneficiaries to Medicare+Choice Plans - Amends SSA title XVIII part C (Medicare+Choice) with respect to access to Medicare+Choice plans through an increase in the minimum Medicare+Choice capitation rate. Subtitle B: Access of the Self-Employed - Amends the Internal Revenue Code to provide for a tax deduction for the full amount of health insurance costs of self-employed individuals. Subtitle C: Improve the Coverage of Needy Children under the State Children's Health Insurance Program (SCHIP) and the Medicaid Program - Amends SSA titles XIX and XXI (State Children's Health Insurance Program) (SCHIP) to require the respective State Medicaid and SCHIP plans to provide for eligibility determinations, coordinated enrollment, and response to electronic communications received through the national toll-free system the Secretary shall establish. (Sec. 221) Amends SSA titles XIX and XXI to provide financial incentives to promote outreach and enrollment activities. Amends SSA title XIX to provide for additional entities qualified to determine Medicaid presumptive eligibility for low-income children. (Sec. 222) Amends SSA title XXI with respect to coordination of pediatric care within a family and reduction in the burden of administering cost-sharing provisions under SCHIP. (Sec. 223) Amends SSA title XIX and XXI to provide for automatic reassessment of eligibility for Medicaid and SCHIP benefits in the case of a child who loses eligibility for Medicaid or SCHIP benefits on the basis of changes in income, assets, or age. Amends SSA title XXI to authorize optional coverage of low-income, uninsured pregnant women under a State SCHIP plan. Amends SSA title XIX to give States the option to use an enhanced Federal medical assistance percentage for coverage of additional pregnant women under Medicaid. Amends SSA titles XIX and XXI to give States the option to cover qualified alien children under Medicaid and SCHIP. Amends the Immigration and Nationality Act to except child Medicaid or SCHIP assistance from the prohibition on seeking support from sponsors. Amends SSA title XXI to provide for: (1) elimination of the funding offset for exercise of the presumptive eligibility option under SCHIP; and (2) coordination of it with the Maternal and Child Health Services program under SSA title V. Title III: Improved Access to Reasonably Priced Prescription Drugs - Amends the Federal Food, Drug, and Cosmetic Act with regard to: (1) conditions for Food and Drug Administration (FDA) warning notices about imported drugs; and (2) consumer information in prescription drug advertising. (Sec. 303) Directs the Secretary to inform patients of the existence of programs operated by prescription drug manufacturers to provide such drugs to patients without charge. (Sec. 304) Expresses the sense of the Congress that: (1) the increased merger of drug manufacturers has resulted in a decrease in price competition in the prescription drug market and increased the potential for collusion in setting prices; and (2) the Antitrust Division of the Department of Justice and the Federal Trade Commission should give increased scrutiny to the anti-competitive effects of such mergers.
United States · United States Congress · 26 June 2000
Department of Veterans Affairs Health Care Personnel Act of 2000 - Title I: Personnel Matters - Revises pay adjustment authority for nurses employed by the Department of Veterans Affairs to require the director of such Department health-care facility to use third-party industry wage surveys in making such adjustments. Prohibits any adjustment from reducing the rate of basic pay applicable to any nurse grade. Prohibits a director, in determining whether to carry out an adjustment, from considering the absence of a current recruitment or retention problem for personnel in that position. Authorizes the Department's Under Secretary for Health to modify any adjustment determination made by a facility director. Makes annual (currently terminated in 1993) a reporting requirement from the Secretary of Veterans Affairs to the congressional veterans' committees regarding such pay adjustments. Requires the Under Secretary to ensure that: (1) the director of a geographic service area, in formulating policy for the provision of patient care, consult regularly with a senior nurse executive(s); and (2) the director of a health-care facility include a registered nurse on any committee providing recommendations or decisions on medical center operations or policies affecting clinical services, clinical outcomes, budget, or resources. (Sec. 102) Increases the special pay for dentists for: (1) full-time status; (2) completing a post-graduate year of accredited hospital-based training; (3) length-of-service pay; (4) scarce specialty pay; (5) service in a geographic location in which there exists extraordinary difficulties in the recruitment and retention of qualified dentists; and (6) service in certain executive positions. Credits toward civil service retirement calculations 25 percent of the special pay for length-of-service pay for each two years that the dentist completes as a dentist in the Veterans Health Administration (VHA). (Sec. 103) Exempts VHA pharmacists from a required ceiling on special salary rates for certain VHA health professionals. (Sec. 104) Requires a physician assistant with appropriate experience to advise the Under Secretary on all matters relating to the utilization and employment of VHA physician assistants. (Sec. 105) Revises generally provisions regarding the temporary appointment of graduates of physician assistant training programs. Title II: Construction Authorization - Authorizes the Secretary to carry out major medical facility projects at Department medical centers in Palo Alto, California, Miami, Florida, and Long Beach, California. (Sec. 202) Authorizes appropriations for FY 2001 and 2002 for the Construction, Major Projects, account for such projects. Title III: Military Service Issues - Directs the Secretary to ensure that: (1) a protocol is used in any clinical evaluation of a patient to identify pertinent military experiences and exposures that may contribute to the health of the patient; and (2) such information is included in the patient's medical records. Requires a report from the Secretary to the veterans' committees on the feasibility and desirability of using a computer-based system in conducting such evaluations. (Sec. 302) Directs the Secretary to contract with an appropriate entity to conduct a follow-up study on post-traumatic stress disorder in Vietnam veterans. Requires a report to the veterans' committees. Title IV: Medical Administration Matters - Authorizes the Secretary to carry out a program in not more than four geographically dispersed areas to improve access to and coordination of inpatient care of eligible veterans. Authorizes the Secretary, under such program to pay the cost of hospital care and medical services furnished on an inpatient basis in a non-Department hospital to a veteran participant. Makes eligible for the program a veteran who: (1) is enrolled to receive medical services from a nearby Department outpatient clinic; (2) requires such care and services for a non-service-connected condition and could not receive such care and services from a Department clinic; and (3) elects to receive such care and services under an entitled health plan. Requires two report from the Secretary to the veterans' committees on program implementation and operation. (Sec. 402) Authorizes the payment of veterans' disability compensation for veterans who are disabled during participation in a compensated work therapy program. (Sec. 403) Extends through December 31, 2005, the authority of the Secretary to establish nonprofit research and education corporations. (Sec. 404) Authorizes the Secretary to furnish temporary lodging in Fisher houses (guest houses) or other appropriate facilities, in connection with the examination, care, and treatment of a veteran, to: (1) a veteran who must travel a significant distance to receive such care and treatment; and (2) a family member and others who accompany such veteran and provide familial support. Authorizes the Secretary to establish charges for such lodging. (Sec. 405) Extends through 2004 an annual reporting requirement describing activities of the Committee on Care of Severely Chronically Mentally Ill Veterans. (Sec. 406) Excludes from the right of the Department to recover certain costs from a State for veterans' care facilities not so used for at least 20 years the establishment and operation of an outpatient clinic at such a facility. (Sec. 407) Prohibits the Secretary from entering into an enhanced-use lease of Department property until 90 days after notifying the veterans' committees of the intention to designate property for such use. (Sec. 409) Designates the outpatient clinic in Rome, New York, as the Donald J. Mitchell Department of Veterans Affairs Outpatient Clinic. (Sec. 410) Directs the Secretary to release a reversionary interest in certain real property in Johnson City, Tennessee, previously transferred to the State of Tennessee.
United States · United States Congress · 26 June 2000
Truth in Regulating Act of 2000 - Provides that when a Federal agency publishes an economically significant rule, a chairman or ranking member of a committee of jurisdiction of either House of Congress may request the Comptroller General to review such rule. Defines "economically significant rule" to mean any proposed or final rule, including an interim or direct final rule, that may have an annual effect on the economy of $100 million or more or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities, or for which an agency has prepared an initial or final regulatory flexibility analysis. Requires the Comptroller General to submit a report on each rule reviewed, including an independent evaluation of: (1) the costs and benefits; (2) alternative approaches that could achieve the same goal more cost-effectively or that could provide greater net benefits, and if applicable, a brief explanation of any statutory reasons why such alternatives could not be adopted; (3) the regulatory impact analysis, federalism assessment, or other analysis or assessment prepared by the agency or required for the rule; and (4) the results of the evaluation and the implication of those results, including an evaluation of any changes from the proposed rule made by the agency in the final rule. Requires the Comptroller General to develop procedures for determining the priority and number of requests for review which give the highest priority to requests regarding a notice of proposed rulemaking and to requests regarding an interim final rulemaking. Authorizes appropriations for FY 2001 through 2003. Provides that this Act shall not apply to rules published after three years after its effective date.
United States · United States Congress · 23 June 2000
Emergency Methamphetamine Response Act of 2000 - Authorizes the Attorney General: (1) acting through the Administrator of the Drug Enforcement Administration (DEA), to reimburse States, units of local government, Indian tribal governments, other public entities, and multi- jurisdictional or regional consortia thereof, for expenses incurred to clean up and safely dispose of substances associated with clandestine methamphetamine laboratories which may present a danger to public health or the environment; and (2) to hire up to five additional DEA personnel to administer this Act. Directs the Attorney General to make specified unobligated balances available to the Department of Justice for FY 2000 available to carry out this Act. Authorizes appropriations for FY 2001.
United States · United States Congress · 22 June 2000
American Community Renewal and New Markets Empowerment Act - Amends the Internal Revenue Code, the National Housing Act, the Small Business Investment Act, the Public Health Service Act and other acts to provide incentives for low- and moderate-income community development. Provides for the designation of and tax incentives for renewal communities. Provides that the designations shall be based on degree of poverty. Provides a credit for computer donations to schools, senior centers, public libraries and other training centers located in a renewal community, empowerment zone, Indian reservation, or a defined low-income community. Provides for the designation of additional empowerment zones and increased empowerment zone tax incentives. Permits a religious organization to receive Federal funding through the Substance Abuse and Mental Health Services Administration. Prohibits funding discrimination against such an organization so long as its program is implemented in a manner consistent with the Establishment Clause of the first amendment to the Constitution. Provides for the transfer of unoccupied and substandard HUD housing to local governments and community development corporations. Authorizes the licensing of community development entities as America's Private Investment Companies which shall promote community and economic development in low-income communities. Establishes a new markets tax credit with respect to specified qualified low-income community investments. Establishes a New Markets Capital Venture Program to encourage venture capital investment in smaller enterprises located in low- and moderate-income urban and rural areas. Provides for bond volume cap and low-income housing credit increases. Provides for the establishment of Individual Development Accounts and Individual Development Account Programs to provide for the accumulation of assets in low-income communities to used to promote education, homeownership, family, community, and business development. Requires the Federal Government, or a State or local government, to consider a religious organization's assistance program on the same basis as other nongovernmental organizations in the distribution of Federal funds so long as the religious organization's assistance program provides assistance in a manner consistent with the Establishment Clause of the first amendment to the Constitution.
United States · United States Congress · 22 June 2000
Small Rural Hospital Program Improvement Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to: (1) make the Medicare-dependent, small rural hospital program permanent; and (2) give any hospital under such program the option of basing eligibility for payment on discharges during any of the three most recent audited cost reporting periods in lieu of the current basing of eligibility for payment on discharges during the cost reporting period beginning in FY 1987.
United States · United States Congress · 22 June 2000
Equal Access to Medicare Home Health Care Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act with respect to payments made under the prospective payment system (PPS) for Medicare home health services: (1) eliminating the 15 percent reduction in payment rates under such PPS; (2) requiring repayment with interest of Medicare overpayments by home health agencies after a 36-month grace period during which no interest shall accrue; and (3) providing for ten percent additional payments under the PPS for services in rural areas and security services. Directs the Secretary of Health and Human Services to report to Congress on the feasibility and advisability of including home health services furnished by telecommunications systems as a home health service for purposes of payment for such services under the PPS, and of requirements with respect to physician certification of the need for home health services.
United States · United States Congress · 22 June 2000
Equal Access to Medicare Home Health Care Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act with respect to payments made under the prospective payment system (PPS) for Medicare home health services: (1) eliminating the 15 percent reduction in payment rates under such PPS; (2) requiring repayment with interest of Medicare overpayments by home health agencies after a 36-month grace period during which no interest shall accrue; and (3) providing for ten percent additional payments under the PPS for services in rural areas and security services. Directs the Secretary of Health and Human Services to report to Congress on the feasibility and advisability of including home health services furnished by telecommunications systems as a home health service for purposes of payment for such services under the PPS, and of requirements with respect to physician certification of the need for home health services.
United States · United States Congress · 21 June 2000
Public Investment Recovery Act of 2000 - Requires each transaction entered into by a Federal agency under which Federal support is provided for research and development which leads or may lead to the production and sale of a pharmaceutical, biologic, or genetic product to include provisions requiring that payments to recoup a portion of the agency's investment be paid annually to the Federal agency for deposit into a Public Investment Recovery Trust Fund established by this Act. Establishes a Public Investment Recovery Board to: (1) determine the total amount of profits for such a product; and (2) make calculations as required by this Act of the proportion of Federal support for research and development which lead to the production and sale of such a product. Prescribes a formula for determining the percentage of profits required to be paid. Provides for the expiration of payments on the expiration of the initial patent issued for such product. Allows: (1) not more than two percent of amounts in the Trust Fund to be used by the Food and Drug Administration or the National Institutes of Health (NIH) to support research and reports on the comparative efficiency and effectiveness of such products; (2) not more than 20 percent of amounts in the Trust Fund in the first five fiscal years after the enactment of this Act, and three percent in subsequent fiscal years, to be used to help pay the administrative expenses of carrying out this Act; and (3) not more than 20 percent of amounts in the Trust Fund to be used by NIH to support pharmaceutical, biologic, or genetic research and development, unless no Medicare prescription drug benefit has been enacted, in which case the remainder of the funds in such Fund may be used for a purpose authorized by this Act. Requires the remainder of such funds, if such a drug benefit has been enacted, to be used for the financing of such a benefit.
United States · United States Congress · 21 June 2000
Legal Immigrant Children's Health Improvement Act of 2000 - Amends titles XIX (Medicaid) and XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) to grant States the option of covering certain categories of eligible women and child resident aliens under the Medicaid and CHIP programs.
United States · United States Congress · 21 June 2000
Combined Fund Stability and Fairness Act - Amends chapter 99 (Coal Industry Health Benefits) of the Internal Revenue Code and the Surface Mining Control and Reclamation Act of 1977 to redefine the term "coal wage agreement" to include only the 1988 agreement which became effective on February 1, 1988, and any predecessor to the 1988 agreement. Redefines the term "signatory operator" in a similar manner (as a 1988 operator). Provides for a reduction in health benefit premiums to coal miners if there is a surplus in the Combined Benefit Fund. Provides for a refund of premiums paid to the Fund for certain small entities which are not 1988 agreement operators. Provides for the transfer of certain amounts of interest from the Abandoned Mine Reclamation Fund to the Combined Fund. Reduces Abandoned Mine Reclamation Fund fees. Extends the Abandoned Mine Reclamation Fee program for an additional six years. Authorizes appropriations for the transfer of $38 million from the 1950 United Mine Workers of America Pension Plan annually to the Combined Fund to cover any shortfall in the premium account of the Combined Fund.
United States · United States Congress · 20 June 2000
National Clean Water Trust Fund Act of 2000 - Amends the Federal Water Pollution Control Act to establish a National Clean Water Trust Fund to be composed of amounts obtained through enforcement actions. Makes the Fund available for projects to restore waters from damages resulting from violations of such Act or from the discharge of pollutants. Permits the use of Fund amounts only for projects conducted in the watershed, or in an adjacent watershed, in which a violation results in the institution of an enforcement action. Authorizes the use of civil penalties obtained under such Act for mitigation or restoration projects or other projects that enhance public health or the environment.
United States · United States Congress · 20 June 2000
Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Outpatient Prescription Drug Benefit Program) to provide Medicare coverage of certain outpatient prescription drugs and biological products for individuals entitled to benefits under Medicare part A (Hospital Insurance) or enrolled under Medicare part B (Supplementary Medical Insurance). (Sec. 2) Directs the Secretary of Health and Human Services (Secretary) to provide for an outpatient prescription drug benefit program for eligible Medicare beneficiaries. Makes the cost of providing benefits under this part payable from the Federal Supplementary Medical Insurance Trust Fund. Directs the Secretary to establish a process for an eligible Medicare beneficiary (including one enrolled in a Medicare+Choice plan under Medicare part C (Medicare+Choice)) to elect to enroll under new SSA title XVIII part D. Requires an eligible Medicare beneficiary to enroll under new SSA title XVIII part D in order to be eligible for covered outpatient drugs under Medicare. Directs the Secretary to disseminate information to eligible and prospective eligible beneficiaries. Authorizes appropriations. Directs the Secretary to determine and promulgate a monthly premium rate for the succeeding year in accordance with specified guidelines. Requires monthly premiums to be credited to the Federal Supplementary Medical Insurance Trust Fund. Directs the Secretary to increase the monthly premium as outlined for certain high-income Medicare beneficiaries. Outlines cost-sharing provisions, including those for a $250 deductible waivable for generic drugs, coinsurance payments for the drug in an amount equal to the applicable percentage of the cost of the drug, and inflation adjustment. Directs the Secretary to establish procedures for accepting bids and awarding competitive contracts for benefit administration. Sets out patient protections. Provides for: (1) accessibility of outpatient drugs; (2) continuity of care; (3) medically necessary drugs; (4) denials of care; (5) procedures to ensure a timely internal and external review and resolution of denials of coverage and complaints regarding the use of formularies; (6) confidentiality; (7) transfer of medical records; and (8) medical errors. Requires the eligible entity, among other things, to have in place procedures to control fraud, abuse, and waste. Authorizes the Secretary to develop and implement a Employer Incentive Program, including incentive payments, that encourages employers and other sponsors of employment-based health care coverage to provide adequate prescription drug benefits to retired individuals by subsidizing, in part, the sponsor's cost of providing coverage under qualifying plans. Outlines sponsor requirements. Authorizes appropriations. Establishes a Medicare Pharmacy and Therapeutics Advisory Committee with regard to the development of: (1) guidelines for administration of the outpatient prescription drug benefit program; (2) standards for required pharmacy and therapeutics committees of eligible entities; (3) procedures for determining if a drug is medically necessary to prevent or to slow the deterioration of, or improve or maintain, the health of an eligible beneficiary; (4) standards for defining therapeutic classes and other specified matters; (5) procedures to evaluate the bids submitted by eligible entities under SSA title XVIII part D; and (6) procedures to ensure that eligible entities under contract are in compliance with requirements. Authorizes appropriations. Applies to SSA title XVIII part D the exclusions from coverage under Medicare parts A or B for any expenses incurred for certain items or services. Provides that prescription drugs are not excluded from such coverage if reasonable and necessary. (Sec. 3) Amends SSA title XVIII part C to: (1) require each Medicare+Choice plan, with specified exceptions, to provide enrolled members items and services for which benefits are available under part D; (2) permit a Medicare+Choice organization offering a Medicare+Choice plan to elect a benefit provider as long as the organization complies with outpatient drug access requirements; (3) require the Secretary to determine a Medicare+Choice capitation rate for outpatient drug benefits for enrollees in accordance with specified payment rules; and (4) prohibit a Medicare+Choice organization from requiring an enrollee to pay an outpatient prescription drug benefit deductible or a coinsurance percentage exceeding the applicable amount. (Sec. 4) Amends SSA title XVIII part D to exclude Medicare part D costs from determination of the part B monthly premium. (Sec. 5) Amends the Internal Revenue Code to authorize the Secretary of the Treasury, upon the Secretary's written request, to disclose to officers and employees of the Health Care Financing Administration (HCFA) certain limited return information with respect to a taxpayer exclusively for use in establishing the appropriate monthly premium under SSA title XVIII part D. (Sec. 6) Amends SSA title XIX (Medicaid) to: (1) include in Medicare cost-sharing for qualified Medicare beneficiaries premiums under the Outpatient Prescription Drug Benefit Program; and (2) provide for expanding medical assistance with regard to the coinsurance and deductible under such Program. Sets at 100 percent the Federal Medicaid percentage with respect to such medical assistance. Provides for the nonapplicability of payment differential requirements to SSA title XVIII part D cost-sharing. Amends SSA title XI to increase according to a certain formula Medicaid payments to territories for FY 1998 and thereafter. (Sec. 7) Amends SSA title XVIII to revise requirements for benefit packages for Medicare supplemental (Medigap) policies. (Sec. 8) Directs the Secretary of Health and Human Services to study and report to Congress on the feasibility and advisability of: (1) establishing a uniform format for pharmacy benefit cards provided to beneficiaries by eligible entities under the Outpatient Prescription Drug Benefit Program, and (2) developing systems to transfer prescriptions electronically under such program from the prescriber to the pharmacist. (Sec. 9) Authorizes appropriations.
United States · United States Congress · 20 June 2000
Breast Cancer Research Extension Act of 2000 - Amends the Public Health Service Act to extend the authorization of appropriations for breast cancer research.