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Bill· HRH.R. 7625 (93rd)referred
United States · United States Congress · 9 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7651 (93rd)referred
United States · United States Congress · 9 May 1973
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, whenever furnished are covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist - except in emergency situations - and generally only on referral from a primary physician and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontia) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services, and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services, thus reversing the practice of Medicare; and (3) custodial care is specifically excluded in any institution, thus necessitating the two important restrictions on payments for institutional care. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increases when the nursing home is owned or managed by a hospital and payment forr care is made through the hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of HEW to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires, also, that they must agree to provide services without discrimination, to make no charge to the patient for any covered services, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners licensed when the program begins, are eligible to practice in the State where they are licensed and requires that all newly, licensed applicants for participation meet national standards established by the Board in addition to those required by his state. Requires that participating professional providers meet continuing education requirements established by the Board (in consultation with appropriate professional organizations). Provides that major surgery and certain other specialty services shall be covered only when provided by a board certified or board eligible physician (except in emergency circumstances). Establishes conditions of participation for general hospitals similar to those required by Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Describes a comprehensive health service organization which undertakes to provide an enrolled population either with complete health Security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients. Provides that the organization, or professionals furnishing services may also serve non-enrollees, with payment to be made to the organization, or, at its request, to such professionals. Permits a foundation sponsored by a city, county, or State medical or dental society, by agreement with the Board, to participate as a provider of services. Permits the participation or community health centers or the like which, through furnishing services as comprehensive as are required by this predetermined population and may not meet some other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive care where it is necessary to rely on arrangements with other providers, rather than on a unified structure, to round out the other elements of the system. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Permits the Board to contract with nonprofit health prepayment or insurance organizations which provide substantially comprehensive services to ambulatory patients, on terms similar to those specified for professional foundations. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home to have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Requires the Board in fixing, for institutional and other providers, standards beyond those specified in the statute, to take into consideration criteria established or recommended by appropriate professional organizations. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as is also any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished (in emergencies, for example) by these institutions or agencies to eligible persons who are not a part of their normal clientele. Overrides, for purposes of the Health Security program, State laws of several kinds which inhibit the utilization or the mobility of health personnel, cloud the legality of so-called "corporate practice" of health professions, or restrict the creation of group practice organizations. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other state, the scope of his permissible practice being goverened by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield form these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, estimated change in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay; institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment, the monies available in each health service area for payment to each category or professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a comprehensive health service organization will be paid for other than hospital or skilled nursing home services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions to assist in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services and (2) to organizations providing comprehensive ambulatory care, ot improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director will serve as secretary to the Board and shall perform such duties in administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title, to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances, systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs, and other studies which it considers would improve the quality of services of administration of the program. Grants authority ot the Board, in accordance with regulations, to make determinations of who are participating providers of service, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000 with subsequent further increase if wage levels rise. Eliminates the wage ceiling from the employer tax, and broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable ans similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Provides the mechanism for increasing the wage base, by $600 intervals, in proportion to future increases in average wage levels. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000 (with the same upward adjustment as in the employee tax for subsequent rises in average wage levels). Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Requires that after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for service which are more extensive than those covered under Health Security. Title III: Repeal or Amendments of Other Act - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Title IV: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of the State and the Secretary of the Treasury ot study the coverage of health services for U.S. residents in other countries. Sets forth Congressional findings concerning the shortage of appropriate services and facilities for the long-term care of the aged or chronically sick. Directs the Secretary to make a comprehensive study of the need for additional social, homemaker and other services for the most equitable and appropriate means of financing such services. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the federal health benefit programs for merchant seamen, and Indians and Alaskan natives with the health security benefit program. Requires the Secretary and Administrator to consult with representatives of the affected beneficiary groups and include a summary of their views in the reports to Congress. Sets forth Congressional findings concerning medical malpractice, and the methods of determining liability and assessing damages, are unsatisfactory. Directs the Secretary to make a comprehensive study of the problem, including the most appropriate criterion of compensable injury, means of adjudication, and means of financing the payment of compensation.
Bill· HRH.R. 7643 (93rd)referred
United States · United States Congress · 9 May 1973
Narcotic Addict Treatment Act - Provides that practitioners who dispense or administer narcotic drugs in a treatment program for addicts under the Controlled Substances Act shall obtain an annual registration for that purpose. States that such program may be for maintenance treatment, detoxification treatment, or both. Provides that the Attorney General shall grant a registration under this Act upon a showing that the applicant is qualified to engage in such treatment under standards set by the Secretary of Health, Education, and Welfare and is prepared to comply with standards imposed by the Attorney General with respect to the security of narcotic drug stocks, the maintenance of records, and with the concurrence of the Secretary, the quantities of drugs which may be provided for unsupervised use. Makes provision for the denial, suspension, or revocation of the certificate required by this Act for failure to comply with the standards imposed by this Act. Requires registrants to keep records of drug administrations under this Act.
Bill· HRH.R. 7627 (93rd)referred
United States · United States Congress · 9 May 1973
Health Maintenance Organization and Resources Development Act - States that the purpose of this Act is to improve the health care delivery system by supporting the creation of health maintenance organizations, supplemental health maintenance organizations, health service organizations, and area health education and service centers, particularly in medically underserved areas. Provides that nothing in this Act or any amendments made by this Act, shall be construed to supersede any activity relating to the review of health care services or to the determination of eligibility of participants in programs under the Social Security Act. Title I: Health Maintenance Organizations - Authorizes the Secretary of Health, Education, and Welfare to make grants to public or private nonprofit agencies, organizations, or institutions to assist them in meeting the costs of projects to plan or study the feasibility of developing or expanding health maintenance organizations. Provides that no project may receive more than $250,000 in such grants. States that priority will be given to those applicants who assure the Secretary that at least 30 percent of their total enrollment will be from medically underserved areas. Authorizes to be appropriated for such grants: $10 million for fiscal year 1974; $15 million for fiscal year 1975; and $20 million for fiscal year 1976. Authorizes the Secretary to make grants to any public or private nonprofit agency, organization, or institution to assist it in meeting the costs of projects to initially develop a health maintenance organization before it begins actual operation. Provides that no project may receive more than $1 million in such grants. Authorizes to be appropriated for such grants: $15 million for fiscal year 1974; $25 million for fiscal year 1975; and $30 million for fiscal year 1976. Authorizes the Secretary to make grants to any public or private nonprofit health maintenance organization or any public or private nonprofit agency, organization, or institution intending to become a health maintenance organization to: (1) assist in meeting construction costs for ambulatory care facilities that will be used to provide health services to its enrollees; and (2) assist in meeting capital investment costs for necessary transportation equipment that will be used to improve access to health services for its enrollees. Provides that a grant for any project under this section may not exceed 75 percent of the costs of construction, however, in exceptional circumstances the Secretary is authorized to grant up to 90 percent of such costs. Authorizes to be appropriated for such grants: $15 million for fiscal year 1974; $30 million for fiscal year 1975; and $40 million for fiscal year 1976. Authorizes the Secretary to make grants to public and private nonprofit health maintenance organizations to assist them in meeting operating deficits incurred during their first three years of operation. Provides that grants for initial operating deficits may be made only for the first three years of a health maintenance organization's operation according to specified limits. Authorizes to be appropriated for such grants: $5 million for fiscal year 1974; $30 million for fiscal year 1975; and $50 million for fiscal year 1976. Authorizes the Secretary to make loans to assist any public or private nonprofit health maintenance organization or any public or private nonprofit agency, organization, or institution intending to become a health maintenance organization to assist it in meeting the cost of constructing facilities for ambulatory care and transportation services. States that such facilities must be used by the health maintenance organization to provide health services to its enrollees. Authorizes to be appropriated for such loans: $10 million for fiscal year 1974; $20 million for fiscal year 1975; and $30 million for fiscal year 1976. Authorizes the Secretary to make loans to any public or private nonprofit health maintenance organization to assist it in meeting a portion of its initial operating costs in excess of its gross revenues. Provides that initial operating loans may only be made for the first three years of a health maintenance organization's operation. States that such loans may not exceed specified yearly percentages. Authorizes to be appropriated for such loans: $5 million for fiscal year 1974; $30 million for fiscal year 1975; and $50 million for fiscal year 1976. Authorizes the Secretary to make grants and loans for planning and feasibility studies, initial development costs, construction, and initial costs of operation to health maintenance organizations in non-metropolitan areas. Authorizes to be appropriated for such purposes $20 million for fiscal year 1974, $30 million for fiscal year 1975, and $50 million for fiscal year 1976. Provides that any loan by the Secretary shall bear interest at a rate comparable to the current legal rate of interest prevailing with respect to loans which are guaranteed under this Act. Provides that no payment of principal on a loan shall be required for the first five years after such loan is made. Sets forth the criteria to be considered in making loans. States that no such loan shall have a term in excess of fifteen years. Permits the Secretary to waive any right of recovery which he has by reason of the failure of a public organization to make payment and interest on a loan under this Act. Permits the Secretary during the period beginning January 1, 1974, and ending with the close of June 30, 1976, in accordance with the provisions of this Act: (1) a guarantee to non-Federal lenders making loans to such organizations for such purposes, payment of principal of and interest on such loans which are approved under this Act; and (2) in the case of nonprofit health maintenance organization, to pay to the holder of such loans amounts sufficient to reduce the net effective interest rate otherwise payable on such loan. Sets forth the restrictions for such loans. Establishes in the Treasury a Health Maintenance Organization Loan Guarantee and Interest Subsidy Fund which shall be available to the Secretary without fiscal year limitation, in such amounts as may be specified from time to time in appropriation Acts: (1) to enable him to discharge his responsibilities under guarantees issued by him under this title; and (2) for interest subsidy payments authorized by this title. Authorizes to be appropriated from time to time such amounts as may be necessary to provide the sums required by the fund. States that no grant, contract, loan, loan guarantee, or interest subsidy may be made under this Act unless an application therefor has been submitted to and approved by the Secretary. Sets forth the information to be included in such applications and the criteria to be considered in making such grants, loans, or guarantees. Provides that, upon completion of assistance under this title, the recipient of assistance shall make a full and complete report to the Secretary, in such manner as he may by regulation prescribe. Authorizes the Secretary, after a hearing on the record, to terminate or cancel any grant, loan, loan guarantee, or interest subsidy to any recipient of assistance under this title which he determines is in substantial noncompliance with any material provision of this title or after notice from the Commission on Quality Health Care Assurance that such organization has had its certificate of compliance suspended or revoked. States that every provider of health care which is certified by the Commission on Quality Health Care Assurance as maintaining quality control standards in compliance with the requirements set by the Commission shall be entitled to an annual payment in an amount equal to the administrative costs allowed by the Commission incurred in complying with the requirements of the Commission. States that any provider of health care, whether or not subject to the provisions of this Act, may apply to the Commission for certification of compliance under this Act. Authorizes to be appropriated to carry out the provisions of this section $25,000,000 for the fiscal year 1974; $50,000,000 for the fiscal year 1975 and $75,000,000 for fiscal year 1976. Provides that the Secretary shall make annual grants to health maintenance organizations serving persons who cannot meet the expenses of such organizations' premiums. States that the amount of such annual grants shall be equal to the difference between the maximum amount an enrollee could reasonably be expected to pay toward the health maintenance premium and the premium for membership enrollment in such health maintenance organization for each such person enrolled. Provides that in determining the amount an enrollee shall pay toward the premium, the Secretary shall consider all sources of income available to each such enrollee. States that grants under this section shall not exceed 25 percent of the total premium receipts for such health maintenance organization for the next preceding year. Provides that the Secretary shall determine the amount of any grant under this title. States that payments under such grants may be made in advance or by reimbursement, and at such intervals and on such conditions as the Secretary finds necessary. Prohibits the transferring of funds appropriated for any program authorized under this title to any other program. Requires that only funds appropriated under titles IX and XII of the Public Health Service Act are to be used to initially develop, construct, and operate health maintenance organizations, supplemental health maintenance organizations, health service organizations, and any other entities that provide prepaid health care to defined populations. Authorizes the Secretary to waive the open enrollment requirement for health maintenance, supplemental health maintenance, and health service organizations under specified circumstances. States that a health maintenance organization may receive more than one such waiver. Requires each recipient of Federal funds under the public Health Service Act to keep and provide full access to such records as the Secretary prescribes. Permits the Secretary to grant a waiver to eligible applicants with respect to the provision of a specified health service that is required to be provided under the terms of this Act. Authorizes the Secretary to contract with health maintenance, supplemental health maintenance, or health service organizations in order to provide health services to Indians eligible to receive such services from the Indian Health Service and to domestic agricultural migratory workers eligible for such services under the Public Health Service Act. Authorizes the Secretary to make grants to and contracts with public or nonprofit private entities to study, initiate, and evaluate projects for the delivery of prepaid comprehensive health services in rural areas. Title II: Commission on Quality Health Care Assurance - Commission on Quality Health Care Assurance Act - Establishes a Commission on Quality Health Care Assurance as an independent agency in the Executive Branch. States that members will be appointed by the President with the advice and consent of the Senate. States that membership shall include representatives of the health care delivery industry, private organizations developing quality health care standards, and consumers who are not related to the delivery of health care. Sets forth the functions of the Commission. Requires the Commission among other duties to: (1) promulgate standards regarding personnel qualifications, medical group composition, and other characteristics dealing with the adequacy of facilities and equipment, and (2) conduct research and experimental programs to develop criteria for quality assurance systems and norms regarding the processes, utilization, characteristics, and outcomes of health services provided. Sets forth the administrative powers of the Commission. Requires that once this title is enacted, the requirements established by the Commission must apply to all health care providers that receive any assistance under the Public Health Service Act and the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963. Permits any health care provider receiving such assistance to apply to the Commission for an order to permit it to be temporarily out-of-compliance with a requirement promulgated under this Act. Authorizes the Commission to grant variances for requirements if it determines or if the Secretary certifies that the variance is necessary to permit a provider to participate in an approved project, designed to validate new and improved health care delivery techniques. Requires providers to publish descriptions of any health care plan covered under this title. Requires plan descriptions to be comprehensive and written in a manner easily understood by the average enrollee. Sets forth the information to be included in such descriptions. Requires the Commission to monitor the published plan descriptions and to take action on any insufficient, inaccurate, or inadequate information disclosed. Requires the Commission to suspend the certificate of approval of any health care provider that is found, after a hearing, to have significantly deviated from the approved quality control assurance program or regional or national norms for practice. Requires the Commission to suspend such provider's eligibility for assistance under the Public Health Service Act and the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963. States that providers who repeatedly violate the requirements of this Act (concerning disclosure of health care plans) may be assessed a civil penalty of not more than $10,000 per violation. Provides that persons who make false statements on any documents required under this Act, upon conviction, will be punished by a fine of not more than $10,000 or by imprisonment of not more than six months, or both. Permits health care providers to enter into binding arbitration agreements with patients or enrollees to expedite and facilitate the settlement of medical malpractice disputes. Requires providers to keep and submit to the Commission records of arbitration settlements. Requires the Commission to develop and publish a systematic codification of all findings of arbitration procedures under this Act. Requires the Commission to certify all findings from arbitration proceedings to appropriate State or local licensing or disciplinary boards. Requires attorneys, who have agreements to be compensated for their role in arbitration proceedings under this Act and whose compensation is dependent on the results of such proceeding, to file a retainer statement with the Commission within thirty days of such agreement. Requires any other attorney who agrees to be retained on a contingency fee basis in connection with such proceedings to file a retainer statement with the Commission within thirty days from such agreement. Provides that attorneys, in connection with proceedings under this Act, who charge more for their services than allowed are to be fined a maximum of $1,000 or imprisoned for a maximum of one year, or both. Authorizes the Commission to promulgate, modify, or revoke, by rule, any quality health assurance system criterion or norm. Permits any person who might be adversely affected by the promulgation of a criterion or norm to file a petition in the appropriate United States district court (within three months after such criterion or norm is promulgated). Permits a State agency or court to assert its jurisdiction under State law over any health issue that is not affected by a standard, criterion, or norm promulgated under this Act. Permits a State to develop and enforce standards, criteria, or norms that are comparable to Federal standards criteria, or norms promulgated under this Act. Requires a State to submit a plan to the Commission for such development and enforcement. Sets forth the criteria for approval of such plans. Requires the Commission to continually evaluate the operation of State plans. Provides that the Commission may petition United States district courts to restrain those conditions or practices of a health care provider which are in danger of causing death or serious physical harm if the Commission is unable, for reasons of time, to enforce appropriate procedures established under this title. Gives such district courts the jurisdiction to grant injunctive relief or temporary restraints pending the outcome of an enforcement proceeding pursuant to this title. Requires the Commission, when it concludes that such serious practices or conditions exist, to notify the health care provider of such danger and of the recommendation that relief be sought. States that, if the Commission fails to seek relief under this Act, individuals who have been injured by such conditions or practices may bring action against the Commission for a writ of mandamus to compel the Commission to seek a restraining order or such further relief as necessary. Authorizes to be appropriated to carry out the provisions of this title: $15 million for fiscal year 1974; $40 million for fiscal year 1975; and $70 million for fiscal year 1976.
Bill· HRH.R. 7644 (93rd)referred
United States · United States Congress · 9 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7640 (93rd)referred
United States · United States Congress · 9 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7624 (93rd)referred
United States · United States Congress · 9 May 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· SS. 1730 (93rd)referred
United States · United States Congress · 8 May 1973
Authorizes the Secretary of Health, Education and Welfare to make annual grants, in accordance with the provisions of this Act, to each school of medicine or osteopathy which has entered into an agreement under this Act for the improvement of the educational program of such school. Sets forth the formula for computing the amount of such grant and the contents of the above mentioned agreement. States that the Secretary shall pay to each individual who is a participant: (1) the full regular tuition and fees imposed by the school; and (2) an annual stipend of $5,000. States that no individual shall be a participant under this Act until and unless he has entered into an agreement with the Secretary. Provides that any such agreement with any individual shall provide that such individual will, upon completion of his professional training, serve, as an employee of the Federal Government, for a period of threee years in any physician-shortage area to which he is assigned by the Secretary. Provides that an individual who fails to commence within a reasonable time to serve his three years will be obligated to pay $60,000 to the United States. States that the Secretary shall, to the extent that they are available, assign at least two physician-participants to each physician-shrotage area, or a physician and a registered nurse to each such area. Provides that the Secretary shall provide for physician-participants assigned to any area such office space, equipment, and supplies as may be necessary to enable them to practice their profession in meeting the needs for primary care of the resident in such area. States that fees collected by any physician-participant shall be deposited in the Treasury. Authorizes to be appropriated for each fiscal year such sums as may be necessary for the purpose of carrying out the provisions of this Act.
Bill· HRH.R. 7547 (93rd)referred
United States · United States Congress · 7 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Resolution· HCONRESH.Con.Res. 214 (93rd)referred
United States · United States Congress · 7 May 1973
Expresses the opposition of the Congress to the enactment of certain measures for the curtailment of benefits under the medicare and medicaid programs.
Bill· SS. 1708 (93rd)referred
United States · United States Congress · 3 May 1973
Family Planning Services and Population Research Amendments - Requires the Assistant Secretary for Family Planning and Population Science to report (through the Secretary of Health, Education, and Welfare) to Congress not later than six months after enactment of this Act on: (1) the number of individuals in need of family planning services - organized and otherwise - and a timetable for serving them; (2) the types of information and educational materials to be developed; (3) research goals to be established and a timetable for their achievement; and (4) the manpower required to meet these objectives. Requires the Assistant Secretary to submit progress reports annually on specific achievements made in reaching goals established by the six-month report. Authorizes grants to assist in the establishment and operation of voluntary family planning programs and projects. Authorizes appropriations for a three-year period-fiscal years 1974 ($159.5 million), 1975 ($207.5 million) and 1976 ($255.5 million). Extends appropriations authorizations for a three-year period-fiscal years 1974 ($5 million), 1975 ($7.5 million), and 1976 ($10 million) for training grants and contracts for the training of such personnel to carry out family planning services programs eligible for support under this Act as are needed to meet program objectives specified in the plan. Specifies that grants and contracts awarded under this Act must be made with the concurrence of the Assistant Secretary for Family Planning and Population Science and be carried on through the National Center for Family Planning Services and in consultation with the National Advisory Council. Authorizes the Secretary, throught the Assistant Secretary for Family Planning and Population Science, to make grants to public or nonprofit private entities and enter into contracts with public or private entities and individuals for: (1) the development of educational and informational materials on voluntary family planning; (2) the development of educational and informational materials on the causes and consequences of demographic characteristics and trends; and (3) the distribution of such materials to all persons desiring such information and materials. Authorizes appropriations to carry out the development and distribution of such materials. Provides that grants and contracts made under this Act shall be made in accordance with regulations which the Secretary shall prescribe. States that the acceptance by any individual of family planning services or family planning or population information provided through financial assistance under this Act shall be voluntary and shall not be a prerequisite to eligibility for or receipt of any other service or assistance from, or to participation in, any other program of the entity or individual that provided such services or information. Directs that none of the funds appropriated under this Act shall be used in programs where abortion is a method of family planning. Establishes within the Office of the Secretary an Office of Family Planning and Population Science to be directed by an Assistant Secretary for Family Planning and Population Science who shall be appointed by the President by and with the advice and consent of the Senate. Sets forth the functions of the Assistant Secretary. Establishes within the Office a National Center for Family Planning Services and a National Center for Population Science, which shall, respectively, be assigned and carry out the functions assigned to such Centers by this Act and such other duties and responsibilities as the Assistant Secretary may specify in regulations. Requires the Secretary to establish a National Family Planning and Population Science Advisory Council with which he and the Assistant Secretary shall consult on a continuing and regular basis in administering this title. Specifies the membership of the Council.
Bill· HRH.R. 7477 (93rd)referred
United States · United States Congress · 3 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7473 (93rd)referred
United States · United States Congress · 3 May 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural vitamin, mineral, substance, or ingredient of any food supplement unless such article is intrinsically injurious to health in the recommended dosage; and (2) shall not require a warning label on any food supplement unless such article is intrinsically injurious to health in the recommended dosage.
Bill· HRH.R. 7474 (93rd)referred
United States · United States Congress · 3 May 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural vitamin, mineral, substance, or ingredient of any food supplement unless such article is intrinsically injurious to health in the recommended dosage; and (2) shall not require a warning label on any food supplement unless such article is intrinsically injurious to health in the recommended dosage.
Bill· HRH.R. 7479 (93rd)referred
United States · United States Congress · 3 May 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural vitamin, mineral, substance, or ingredient of any food supplement unless such article is intrinsically injurious to health in the recommended dosage; and (2) shall not require a warning label on any food supplement unless such article is intrinsically injurious to health in the recommended dosage.
Bill· HRH.R. 7467 (93rd)referred
United States · United States Congress · 3 May 1973
Establishes, within the Department of Health, Education, and Welfare, a National Population Sciences and Family Planning Services Administration. Establishes, within the Administration, a National Center for Family Planning Services, to carry out a public information services program for planning and development, manpower development and training, supervision of field services, and grants management. Establishes, within the Administration, a National Institute for Population Sciences to carry out reproductive physiology research, contraceptive development and evaluation, operational research, social science research, and grants mangement. Provides that the Secretary of Health, Education and Welfare shall utilize the Administration to administer programs and research related to population and family planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Directs the Secretary, on January 1 after the Act, to make a report to the Congress setting forth a plan to be carried out over a period of 5 years for extention of family services, for research programs in reproductive physiology, contraceptive development and evaluation, the social sciences and operational research, for training of necessary manpower for services and research, and for carrying out the other purposes set forth in this Act. Authorizes the Secretary to make, through the Administration, grants to public agencies and nonprofit organizations and institutions to assist in the establishment and operation of voluntary family planning projects. Directs the Secretary to make grants to State health agencies to assist the States in planning, establishing, maintaining, coordinating, and evaluating family planning services. Provides that no funds appropriated under this system shall be used in a program where abortion is a method of family planning. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 to enable the Secretary to carry out the provisions of the two foregoing programs. Authorizes appropriations for manpower development and program planning and evaluation for fiscal year 1974 through fiscal year 1978 in order to implement the aforementioned family planning programs. States that, in order to promote research in the biomedical, contraceptive development, social science and operational research fields related to population and family planning the Secretary is authorized to make grants to public agencies and nonprofit organizations and institutions, and to enter into contracts with groups, associations, institutions, individuals, or corporations for the conduct of such research. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for the purpose of making grants and contracts under this section. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for project grants to assist in meeting the cost of construction and operation of centers for research relating to human reproduction, sterility, contraception, effectiveness of service delivery, population trends, and other aspects of, or factors which affect, population dynamics. States that applications for grants under this section shall be approved by the Secretary only if the applicant is an institution of higher education or other public or private nonprofit institution which the Secretary determines is competent to engage in the type of research necessary. Provides that the total of the grants with respect to such project shall not exceed 75 percent of the cost of the project. States that if within twenty years after completion of any construction for which funds have been paid under this section: (1) the applicant or other owner of the facility shall cease to be a public or private nonprofit institution; or (2) the facility shall cease to be used for the purposes for which it was constructed, unless the Secretary determines, in accordance with the promulgated regulations, that there is good cause for releasing the applicant or other owner from the obligation to do so, the United States shall be entitled to recover from the applicant or other owners of the facility amount bearing the same ratio to the value of the participation bore to the cost of the construction of the facility. Authorizes the Secretary to make project grants and to enter into contracts with public agencies and nonprofit organizations and institutions to assist in developing and making available family planning and population growth information to all persons desiring such information or materials. Authorizes the appropriation of specified sums for the fiscal years 1974 through 1978 for the purpose of making grants or entering into contracts under this section.
Bill· HRH.R. 7508 (93rd)referred
United States · United States Congress · 3 May 1973
Establishes a Fire Protection Assistance Administration. Authorizes such Administration to make annual grants to any fire protection district or department for the purposes of maintaining, improving, or expanding its fire prevention and control, rescue, or other related functions. Sets forth conditions of elibility for such grants. Provides for the administration of the grant program. Provides that no annual grant under this Act may exceed $3,000,000. Establishes the National Fire Protection Advisory Council. Requires such Advisory Council to establish minimum training standards for fire prevention and control personnel. Requires such Advisory Council to study and report to the Administration the feasibility and desirability of a national clearinghouse for fire and rescue information. Provides that such Council shall cease to exist on June 30, 1976. Authorizes appropriations for fiscal years 1974, 1975, and 1976 to carry out this Act.
Bill· HRH.R. 7480 (93rd)referred
United States · United States Congress · 3 May 1973
Provides that the Secretary of Defense, after consulting with the Secretary of Health, Education, and Welfare, may contract with health maintenance organizations as identified by the Secretary of Health, Education, and Welfare. States that the provisions of such a contract may deviate from the cost-sharing arrangements prescribed and the types of health care authorized under title 10 of the United States Code when the Secretary of Defense determines that such a deviation would serve the purpose of that title. Provides that such a contract, however, may not provide for annual payments per beneficiary, by the Government and a beneficiary, of any amount greater than the estimated average annual cost for comparable amounts of care of similar quality provided under the cost-sharing arrangements prescribed in that title. (Adds 10 U.S.C. 1809)
Bill· HRH.R. 7476 (93rd)referred
United States · United States Congress · 3 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7468 (93rd)referred
United States · United States Congress · 3 May 1973
Establishes within the Department of Health, Education, and Welfare an Office of Population Affairs to be directed by an Assistant Secretary for Population Affairs. Sets forth the duties of the Assistant Secretary. Establishes within the Department an Administration on Reproductive Research and Family Planning. Creates within the Administration a National Center for Family Planning Services, headed by a Director, which shall establish identifiable units to carry out, at a minimum, the following functions: Public information, program planning and evaluation, manpower development and training, supervision of field services, and grants management. Establishes within the Administration, a National Institute for Research on Human Reproduction and Population Change which shall establish identifiable units to carry out, at a minimum, the following functions: Reproductive physiology research, contraceptive development and evaluation, operational research, social science research, public information, manpower development and training, and grants management. Establishes a National Family Planning Services Advisory Council to advise, consult with, and make recommendations to the Director, at meetings held no less than two times each year, on matters relating to the activities of the National Center for Family Planning Services. Establishes a National Population Sciences Advisory Council to advise, consult with, and make recommendations to the Director, at meetings held no less than two times each year, on matters relating to the activities of the National Institute for Research on Human Reporduction and Population Change. Sets forth the functions of the Administration on Reproductive Research and Family Planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Requires the Secretary of Health, Education, and Welfare to submit a report to Congress on each January 1 for the five years following the enactment of this Act. Authorizes appropriations for fiscal years 1974-1976 for the following: (1) special project grants for family planning services; (2) formula grants for family planning, public health services; (3) manpower development and program planning and evaluation; (4) research grants and contracts; (5) grants for support of population sciences, research centers; and (6) planning and population growth information distribution and educational materials development.
Bill· HRH.R. 7448 (93rd)referred
United States · United States Congress · 3 May 1973
Provides for the continued operation of Public Health Services hospitals in Washington, Lousiana, Maryland, and California.
Bill· HRH.R. 7441 (93rd)referred
United States · United States Congress · 2 May 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 7422 (93rd)referred
United States · United States Congress · 2 May 1973
Mental Health Act - Provides that every individual who is a resident of the United States, or who is a non-resident citizen of the United States, shall be eligible to receive the benefits provided by this title. Lists the mental health services covered by this Act and provides that benefits under this Act shall consist of entitlement to have payment made on his behalf, without limit as to duration except as otherwise specifically indicated. Sets forth qualifications of psychiatric hospitals for participation in the program under this title, including that provide active diagnostic, therapeutic, and rehabilitative services with respect to mental illness, and that it is accredited by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary of Health, Education, and Welfare to periodically determine the amount which should be paid under this title to each provider of care and services with respect to the care and services furnished by it. Provides that no payments may be made under title XVIII (Medicare) of the Social Security Act, under any State plan approved under title XIX (Medicaid) of such Act, or under any other Federal law or program, with respect to any care or services for which payment is made under this title. Provides that the program under this title shall be administered by the Secretary with the advice and assistance of a Committee on Mental Health which shall be appointed by the Secretary. Provides that the Committee shall be specifically responsible under the direction of the Secretary for the approval of all providers of care and services for participation in the program under this Act and for the establishment of the guidelines and qualifications to be applied to any of such providers not affiliated with any specific psychiatric hospitals. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act. Requires the Secretary of Health, Education, and Welfare to submit an annual report to the Congress and the President on the program under this Act, including his recommendations for any improvements or modifications.
Bill· HRH.R. 7418 (93rd)referred
United States · United States Congress · 2 May 1973
National Health Research Fellowship and Traineeship Act - States that the purpose of this Act is to increase the capability of the National Institutes of Health and National Institute of Mental Health to maintain a national program of biomedical research. Establishes, under the Public Health Service Act, a national program of health research fellowships and traineeships for persons intending to enter research or teaching. Authorizes appropriations for the purposes of carrying out this Act.
Bill· HRH.R. 7440 (93rd)referred
United States · United States Congress · 2 May 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 7374 (93rd)referred
United States · United States Congress · 1 May 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 7387 (93rd)referred
United States · United States Congress · 1 May 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7355 (93rd)referred
United States · United States Congress · 30 April 1973
Increases the number of nursing home beds in each State for war veterans in need of nursing home care to two and one-half beds per thousand war veteran population. (Amends 38 U.S.C. 5034)
Bill· HRH.R. 7315 (93rd)referred
United States · United States Congress · 30 April 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7273 (93rd)referred
United States · United States Congress · 19 April 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 7274 (93rd)referred
United States · United States Congress · 19 April 1973
Public Health Act - Title I: Health Service Research and Development - Health Services Research and Development Act - Directs the Secretary of Health, Education, and Welfare to undertake and support research, development, and demonstrations respecting health services. Directs the Secretary to give appropriate emphasis to research, development and demonstrations respecting: (1) the determinants of an individual's health; (2) the impact of the environment on individual health and on health care; and (3) the accessibility, acceptability, organization, distribution, utilization, quality, and financing of systems for the delivery of health care. Establishes, in the Department of Health, Education, and Welfare, a National Center for Health Services Research and Development. Directs the Secretary to act through such Center in undertaking and supporting the research and demonstration projects under this Act. Authorizes the Secretary to assist, by grants or contracts, private nonprofit entities in meeting the costs of planning and establishing new centers, and operating existing centers and new centers, for multi-disciplinary health services research, development, demonstrations, and evaluations respecting the matters covered under this Act. Authorizes appropriations of $80,000,000 for the fiscal year ending June 30, 1974, and $90,000,000 for the fiscal year ending June 30, 1975 to carry out programs under this title. Establishes in the Department a National Center for Health Statistics. Provides for the duties of such Center. Makes authorizations of appropriations for such Center. Provides for the Secretary to annually call a conference of the health authorities of the several States. Title II: Revision and Extension of Medical Library Assistance Programs - Authorizes appropriations for grants and contracts under this title. Title III: Conforming and Technical Amendments - Declares the position of the Congress that Federal financial assistance must be directed to support the marshaling of all health resources to assure comprehensive health services of high quality for every person. Authorizes the Secretary to accept from State and local authorities any assistance in the enforcement of programs pursuant to this Act which such authorities may be able and willing to provide. Authorizes the Secretary to make grants to any public or nonprofit private entity to cover all or any part of the cost of projects for training to provide improved or more effective comprehensive health planning throughout the Nation.
Bill· HRH.R. 7262 (93rd)referred
United States · United States Congress · 19 April 1973
Vocational Rehabilitation Amendments - Authorizes to be appropriated $697,482,000 for fiscal year 1973, $700,096,000 for fiscal year 1974, and such sums as may be necessary for fiscal year 1975, to carry out the Vocational Rehabilitation Act. Authorizes the Secretary of Labor to make grants: (1) to public or nonprofit private, agencies for paying part of the cost of planning, preparing, and initiating programs to provide vocational rehabilitation services to individuals with spinal cord injuries or to low-achieving deaf individuals; and (2) to any State agency designated pursuant to a plan approved under the Act, or to any local agency participating in the administration of such a plan, for paying part of the cost of pilot or demonstration projects for the provision of vocational rehabilitation services to handicapped individuals who are migratory agricultural workers, and to members of their families. (Amends 29 U.S.C. 34) Provides that whenever the Secretary determines that any amount of an allotment to a State for any fiscal year will not be utilized by such State in carrying out vocational rehabilitation services the Secretary may allot to one or more other States to an amount the extent he determines such other State will be able to use such additional amount during such year for carrying out such purposes. Authorizes grants for such services to the Virgin Islands, Puerto Rico, and Guam. (Amends 29 U.S.C. 32) Includes American Samoa, and the Trust Territories of the Pacific Islands within the definition of "State" under the Act. (Amends 29 U.S.C. 41) Requires a State plan for vocational rehabilitation services to provide satisfactory assurance to the Secretary that the agencies administering such plan will take into account, in connection with matters of general policy arising in the administration of the plan, the views of individuals who are recipients of such services, the views of individuals who represent citizen groups, individuals who represent professional groups, and individuals who are providers of vocational rehabilitation services. (Amends 29 U.S.C. 35(a)) Increases to $30 the minimum training allowance to people participating in such service programs under the Act. (Amends 29 U.S.C. 41(b)) Increases to $3,000,000 the annual amount which may be expended for the evaluation of the vocational rehabilitation program under the Act. (Amends 29 U.S.C. 37(a)) Repeals the provision for grants for innovation of vocational rehabilitation program under the Act. Provides for advance funding of programs under the Act. Provides that an individual who, as a part of his rehabilitation under a State plan, participates in a program of work experience in a Federal agency, shall not be considered to be a Federal employee or to be subject to the provisions of law relating to Federal employment.
Bill· HRH.R. 7241 (93rd)referred
United States · United States Congress · 19 April 1973
Food Supplement Amendment - Defines the term "food supplement" for purposes of the Federal Food, Drug, and Cosmetics Act to mean food for special dietary uses, and defines the meaning of "special dietary uses" as particular uses of food for man which meets specified requirements. Provides that in administering such Act the Secretary of Health, Education, and Welfare: (1) shall not limit the potency, number, combination, amount, or variety of any synthetic or natural food supplement unless there is scientific evidence that such may be harmful to people; and (2) shall not require a warning label on any food supplement unless there is scientific evidence that such may be harmful to people.
Bill· HRH.R. 7226 (93rd)referred
United States · United States Congress · 19 April 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· SS. 1634 (93rd)referred
United States · United States Congress · 18 April 1973
Modifies the authorization of appropriations for the program of special project grants and contracts, under the Drug Abuse Office and Treatment Act by providing such sums as may be necessary, rather than specified appropriation amounts.
Bill· SS. 1633 (93rd)referred
United States · United States Congress · 18 April 1973
Makes permanent the program of research and demonstrations relating to health facilities and services under the Public Health Service Act.
Bill· SS. 1632 (93rd)referred
United States · United States Congress · 18 April 1973
Extends for three years the programs under the Public Health Service Act for comprehensive State and areawide health planning, and for comprehensive public health service and health services development. Provides for the repeal of the requirement that at least 15 percent of a State's formula allotment for public health services be available only for mental health services.
Bill· HRH.R. 7139 (93rd)referred
United States · United States Congress · 18 April 1973
Authorizes the Secretary of Defense to utilize Department of Defense resources for the purpose of providing medical emergency transportation services to civilians. Limits Government and individual liability incident to providing such services.
Bill· HRH.R. 7146 (93rd)referred
United States · United States Congress · 18 April 1973
Rehabilitation Act - Declares that it is the purpose of this Act to provide a statutory basis for the Rehabilitation Service Administration; to establish within the Department of Health, Education and Welfare an Office for the Handicapped, and to authorize specified programs. Establishes within the Department of Health, Education, and Welfare a Rehabilitation Services Administration which shall be administered by a Commissioner. Provides that the Commissioner shall carry out and administer all programs and direct the performance of all services for which authority is provided to the Secretary of H.E.W. under titles I through III of this Act. Creates within such administration a Division of Research, Training and Evaluation which shall be responsible for carrying out programs and projects under title III of this Act. Authorizes the inclusion of appropriations under this Act in appropriations for the fiscal year preceding the fiscal year for which they are available for obligation. Provides that where funds are provided for a single project by more than one Federal agency to an agency or organization assisted under this Act, the Federal agency principally involved may be designated to act for all in administering such funds. Sets forth definitions of terms used in this Act. Title I: Vocational Rehabilitation Services - States it to be the purpose of this title to authorize grants to assist States to meet the current and future needs of handicapped individuals, so that such individuals may prepare for and engage in gainful employment to the extent of their capabilities. Authorizes to be appropriated $660,000,000 for fiscal year 1974, $700,000,000 for fiscal year 1975, and $710,000,000 for fiscal year 1976 for the purpose of making grants to States to assist them in meeting the costs of vocational rehabilitation services. Authorizes to be appropriated $35,000,000 for fiscal year 1974, $40,000,000 for fiscal year 1975, and $45,000,000 for fiscal year 1976, for the purpose of making grants to States and public and nonprofit agencies to assist them in meeting the costs of projects to initiate or expand services to handicapped individuals. Sets forth the requirements of State plans to be submitted and approved for participation in programs under this title. Authorizes judicial review in United States district courts of decisions by the Commissioner of the Rehabilitation Services Administration affecting State plans. Provides that the Commissioner shall insure that the individualized written rehabilitation program required in a State plan in the case of each handicapped individual shall be developed jointly by the vocational rehabilitation counselor or coordinator and the handicapped individual. Defines vocational rehabilitation services provided under this Act as any goods or services necessary to render a handicapped individual employable, including, but not limited to, the following: (1) evaluation of rehabilitation potential; (2) counseling, guidance, referral, and placement services for handicapped invididuals; (3) vocational and other training services for handicapped individuals; (4) physical and mental restoration services; (5) maintenance, not exceeding the estimated cost of subsistence, during rehabilitation; (6) interpreter services for the deaf, and reader services for the blind; (7) recruitment and training services for handicapped individuals; (8) rehabilitation teaching services and orientation and mobility services for the blind; (9) occupational licenses, tools, equipment, and initial stocks and supplies; (10) transportation in connection with the rendering of any vocational rehabilitation services; and (11) telecommunications, sensory, and other technological aids and devices. Provides a formula for the allotment and payment of funds to States for providing rehabilitation services under this title. Directs the Commissioner to pay to a State or, at the option of the State, to a public or nonprofit organization or agency a portion of the cost of planning, preparing for, and initiating special programs under the State plan to expand vocational rehabilitation services. Title II: Special Federal Responsibilities - Authorizes the Commissioner to make grants and contracts for fiscal years 1974-76 to assist in meeting the costs of construction of public or nonprofit rehabilitation facilities, initial staffing, and planning assistance. Authorizes the Commissioner to make grants to States and public or nonprofit organizations and agencies to pay up to 90 percent of the cost of projects for providing vocational training services to handicapped individuals, especially those with the most severe handicaps, in public or nonprofit rehabilitation facilities. Authorizes to be appropriated for such grants and contracts $10,000,000 for fiscal year 1974, $12,000,000 for fiscal year 1975, and $15,000,000 for fiscal year 1976. Authorizes the Commissioner to make grants to States and public or non-profit agencies and organizations for paying part of the cost of special projects and demonstrations: (1) for establishing facilities and providing services which hold promise of expanding or otherwise improving rehabilitation services to handicapped individuals, especially those with the most severe handicaps; and (2) for applying new types or patterns of service or devices. Provides that the Commissioner may make contracts or jointly finance cooperative arrangements with employers and organizations for the establishment of projects designed to prepare handicapped individuals for gainful and suitable employment in the competitive labor market under which such handicapped individuals are provided training and employment in a realistic work setting and such other services as may be necessary for such individuals to continue to engage in such employment. Authorizes the Commissioner to provide technical assistance to rehabilitation facilities, and for the purpose of removal of architectural and transportation barriers, to any public or nonprofit agency, institution, organization or facility. Provides for a special study by the Secretary of the needs of severely handicapped persons who would otherwise be ineligible for services under this Act. Authorizes appropriations to establish national centers for spinal cord injuries. Establishes in the Department of Health, Education and Welfare a National Advisory Council on Rehabilitation of Handicapped Individuals consisting of twenty members appointed by the Commissioner. Provides that the council shall: (1) provide policy advice and consultation on the planning, conduct, and review of programs authorized under this Act; (2) review the administration and operation of vocational rehabilitation programs under this Act, make recommendations with respect thereto, and make annual reports to the Secretary and the Commissioner for transmittal to the Congress; (3) advise the Secretary and the Commissioner with respect to the conduct of independent evaluations of programs carried out under this Act; and (4) provide such other advisory services as the Secretary and Commissioner may request. Sets forth requirements for applications for assistance for construction projects under this title. Title III: Research and Training - Provides that the commissioner may make grants to, and contracts with, State public and nonprofit organizations to pay part of the cost of research projects which bear directly on the provision of services under this Act. Authorizes the Commissioner to make grants to pay all or part of the cost of specialized activities including the establishment and support of Rehabilitation Research and Training Centers and Rehabilitation Engineering Research Centers. Authorizes the Secretary to pay part of the cost of projects for training, traineeships, and related activities designed to assist in increasing the numbers of personnel trained in providing vocational and comprehensive rehabilitation services. Authorizes appropriations to carry out the purpose of this title. Title IV: Administration and Program and Project Evaluation - Sets forth the functions of the Commissioner in carrying out his duties under this Act. Authorizes the Secretary to conduct studies, investigations and evaluations of programs authorized by this Act. Provides that the Secretary shall measure and evaluate the impact of all programs authorized by this Act in order to determine their effectiveness in achieving stated goals. Requires the Secretary to submit an annual report on such determination and review to the appropriate committees of the Congress. Authorizes appropriations to conduct such program and project evaluations. Requires the Secretary to submit an annual report to the President and to the Congress on the activities carried out under this Act. Provides for a study of the role of sheltered workshops in the rehabilitation and employment of handicapped individuals. Title V: Office for the Handicapped - Establishes an Office for the Handicapped within the Office of the Secretary in the Department of Health, Education and Welfare. Provides that the Office shall be headed by a Director, who shall serve as a Special Assistant to the Secretary. Sets forth the functions of the Office. Authorizes to be appropriated for the purposes of this title such sums as necessary. Title VI: Miscellaneous - Provides for the repeal of the Vocational Rehabilitation Act 90 days after the date of enactment of this Act. Establishes an Architectural and Transportation Barriers Compliance Board to investigate problems of handicapped persons in the areas of architecture and transportation, and to make legislative recommendations to the President and the Congress. Requires any contract in excess of $2500 entered into by any Federal department or agency for the procurement of personal property and nonpersonal services (including construction) for the United States to contain a provision requiring that, in employing persons to carry out such contract, the party contracting with the United States shall take affirmative action to employ and advance in employment qualified handicapped individuals. States that no otherwise qualified handicapped individual in the United States shall, solely by reason of his handicap, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.
Bill· HRH.R. 7151 (93rd)referred
United States · United States Congress · 18 April 1973
Mental Health Act - Provides that every individual who is a resident of the United States, or who is a non-resident citizen of the United States, shall be eligible to receive the benefits provided by this title. Lists the mental health services covered by this Act and provides that benefits under this Act shall consist of entitlement to have payment made on his behalf, without limit as to duration except as otherwise specifically indicated. Sets forth qualifications of psychiatric hospitals for participation in the program under this title, including that provide active diagnostic, therapeutic, and rehabilitative services with respect to mental illness, and that it is accredited by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary of Health, Education, and Welfare to periodically determine the amount which should be paid under this title to each provider of care and services with respect to the care and services furnished by it. Provides that no payments may be made under title XVIII (Medicare) of the Social Security Act, under any State plan approved under title XIX (Medicaid) of such Act, or under any other Federal law or program, with respect to any care or services for which payment is made under this title. Provides that the program under this title shall be administered by the Secretary with the advice and assistance of a Committee on Mental Health which shall be appointed by the Secretary. Provides that the Committee shall be specifically responsible under the direction of the Secretary for the approval of all providers of care and services for participation in the program under this Act and for the establishment of the guidelines and qualifications to be applied to any of such providers not affiliated with any specific psychiatric hospitals. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act. Requires the Secretary of Health, Education, and Welfare to submit an annual report to the Congress and the President on the program under this Act, including his recommendations for any improvements or modifications.
Bill· HRH.R. 7152 (93rd)referred
United States · United States Congress · 18 April 1973
Mental Health Act - Provides that every individual who is a resident of the United States, or who is a non-resident citizen of the United States, shall be eligible to receive the benefits provided by this title. Lists the mental health services covered by this Act and provides that benefits under this Act shall consist of entitlement to have payment made on his behalf, without limit as to duration except as otherwise specifically indicated. Sets forth qualifications of psychiatric hospitals for participation in the program under this title, including that provide active diagnostic, therapeutic, and rehabilitative services with respect to mental illness, and that it is accredited by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary of Health, Education, and Welfare to periodically determine the amount which should be paid under this title to each provider of care and services with respect to the care and services furnished by it. Provides that no payments may be made under title XVIII (Medicare) of the Social Security Act, under any State plan approved under title XIX (Medicaid) of such Act, or under any other Federal law or program, with respect to any care or services for which payment is made under this title. Provides that the program under this title shall be administered by the Secretary with the advice and assistance of a Committee on Mental Health which shall be appointed by the Secretary. Provides that the Committee shall be specifically responsible under the direction of the Secretary for the approval of all providers of care and services for participation in the program under this Act and for the establishment of the guidelines and qualifications to be applied to any of such providers not affiliated with any specific psychiatric hospitals. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act. Requires the Secretary of Health, Education, and Welfare to submit an annual report to the Congress and the President on the program under this Act, including his recommendations for any improvements or modifications.
Bill· HRH.R. 7095 (93rd)referred
United States · United States Congress · 17 April 1973
Allows a tax deduction under the Internal Revenue Code for all medical expenses (including medicine and drugs) paid during the taxable year, and not compenstated for by insurance or otherwise, for the care of any dependent who is the mother or father of the taxpayer or of his spouse, and has attained the age of 65 before the close of the taxable year. Allows a tax deduction for all medical expenses (including medicine and drugs) of the taxpayer and his spouse, if either has attained the age of 65 before the close of the taxable year. States that the amendments made by this Act shall apply with respect to taxable years ending after the date of enactment of this Act.
Bill· HRH.R. 7108 (93rd)referred
United States · United States Congress · 17 April 1973
Health Care Insurance Act - Provides, under the Social Security Act, for medical, dental, and hospital care through a system of voluntary health insurance financed in whole for low-income groups through issuance of certificates, and in part for all other persons through allowance of tax credits. Adds to the Social Security Act a new title entitled Federal Financing of Voluntary Health Insurance. Provides that, for the purpose of providing assistance on behalf of the individuals and their dependents whose income and resources are insufficient to meet the costs of necessary medical, dental, and hospital services, there is established a program of hospital, dental, and medical benefits for any eligible beneficiary and his dependents through the issuance of health insurance certificates, in full payment of allowable premium on a qualified health care insurance policy of his choice. Asserts that health insurance certificiates of entitlement will be redeemable by the carrier by payment from the Federal Health Insurance Redemption Fund. Includes as eligible beneficiaries under this title any husband and wife both under age 65 and living together and any unmarried person under age 65 who is not a dependent beneficiary. Defines a dependent beneficiary as any child of an eligible beneficiary receiving more than 50 percent of his support from the eligible beneficiary, which child is under 21, or if a student, under age 23. Provides that every individual who is an eligible beneficiary whose income results in no individual income tax liability during his base year, whose dependent beneficiaries have no such liability for their taxable years which end during his base year, and who is not eligible to receive military medical care, shall be eligible to receive a health insurance certificate of entitlement. Asserts that such certificates shall be applicable in full payment of allowable premiums for a qualified health care insurance policy or plan. Requires that such policy or plan shall provide protection for the eligible beneficiary and his dependent beneficiaries for a 12-month period beginning during his benefit year against the expenses of health care, including catastrophic expenses of illness. Allows tax credits for health care insurance. Asserts that every individual who is an eligible beneficiary who has not elected, where eligible, to receive benefits under the provisions for fully-paid health care insurance for the low-income group and who is not eligible to receive military medical care, shall be allowed at his election a credit against his income tax liability for his taxable year which ends during his base year; or a health insurance certificate of entitlement acceptable by a qualified carrier in payment toward a premium, under a qualified health care insurance policy. Specifies the amount of the tax credit or the value to be assigned to the health insurance certificate on the basis of allowable premiums. Provides that a health insurance certificate of entitlement means a certificate issued by the Secretary of Health, Education and Welfare upon application to him by an eligible beneficiary to apply toward payment of premium on a qualified health care insurance policy or plan. Specifies that a qualified health care insurance policy or plan shall be a contractual agreement specifying benefits under a program offered by a qualified carrier which has been registered by a State Agency and which provides basic institutional and medical coverage and catastrophic expense coverage. Declares that each such qualified health care insurance policy or plan shall be noncancellable and guaranteed renewable so long as the carrier continues to offer to the public one or more qualified health care insurance policies or plans, shall provide protection against the expense of health care without regard to any pre-existing conditions, and shall provide for payment under this title of usual and customary charges for services covered under the policy or plan. Stipulates what costs shall be included under basic coverage and under catastrophic expense coverage. Establishes deductibles for each of the two types of coverage. Creates a Health Insurance Advisory Board which shall consist of eleven persons including the Secretary of Health, Education, and Welfare and the Commissioner of the Internal Revenue Service. Directs that the remaining members, not otherwise in the employ of the Government, shall be appointed by the President, with the advice and consent of the Senate, without regard to the provisions of title 5, United States Code, governing appointment in the competitive service. Asserts that the Secretary of HEW shall serve as Chairman. Provides that the members shall be selected from persons who are specifically qualified to serve on such Board by virtue of their education, training, or experience. Provides that the Health Insurance Advisory Board shall perform such functions as: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan and develop programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the tax credit program and file an annual report. Grants the States the power to decide which carriers are qualified. Forbids any Federal officer or employee to exercise any supervision or control over the practice of medicine or dentistry or the manner in which medical or dental services are provided, or over the selection, tenure, or compensation of any officer or employee or any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person. Creates in the Treasury a trust fund to be known as the Federal Health Insurance Redemption Fund to consist in part of an amount equal to the aggregate amount of premiums paid under this title through the redemption of health insurance certificates.
Bill· SS. 1587 (93rd)referred
United States · United States Congress · 16 April 1973
Provides for the continued operation of the Public Health Service hospital which is located in Seattle, Washington.
Bill· HRH.R. 7078 (93rd)referred
United States · United States Congress · 16 April 1973
Vocational Rehabilitation Amendments - Authorizes to be appropriated $697,482,000 for fiscal year 1973, $700,096,000 for fiscal year 1974, and such sums as may be necessary for fiscal year 1975, to carry out the Vocational Rehabilitation Act. Authorizes the Secretary of Labor to make grants: (1) to public or nonprofit private, agencies for paying part of the cost of planning, preparing, and initiating programs to provide vocational rehabilitation services to individuals with spinal cord injuries or to low-achieving deaf individuals; and (2) to any State agency designated pursuant to a plan approved under the Act, or to any local agency participating in the administration of such a plan, for paying part of the cost of pilot or demonstration projects for the provision of vocational rehabilitation services to handicapped individuals who are migratory agricultural workers, and to members of their families. (Amends 29 U.S.C. 34) Provides that whenever the Secretary determines that any amount of an allotment to a State for any fiscal year will not be utilized by such State in carrying out vocational rehabilitation services the Secretary may allot to one or more other States to an amount the extent he determines such other State will be able to use such additional amount during such year for carrying out such purposes. Authorizes grants for such services to the Virgin Islands, Puerto Rico, and Guam. (Amends 29 U.S.C. 32) Includes American Samoa, and the Trust Territories of the Pacific Islands within the definition of "State" under the Act. (Amends 29 U.S.C. 41) Requires a State plan for vocational rehabilitation services to provide satisfactory assurance to the Secretary that the agencies administering such plan will take into account, in connection with matters of general policy arising in the administration of the plan, the views of individuals who are recipients of such services, the views of individuals who represent citizen groups, individuals who represent professional groups, and individuals who are providers of vocational rehabilitation services. (Amends 29 U.S.C. 35(a)) Increases to $30 the minimum training allowance to people participating in such service programs under the Act. (Amends 29 U.S.C. 41(b)) Increases to $3,000,000 the annual amount which may be expended for the evaluation of the vocational rehabilitation program under the Act. (Amends 29 U.S.C. 37(a)) Repeals the provision for grants for innovation of vocational rehabilitation program under the Act. Provides for advance funding of programs under the Act. Provides that an individual who, as a part of his rehabilitation under a State plan, participates in a program of work experience in a Federal agency, shall not be considered to be a Federal employee or to be subject to the provisions of law relating to Federal employment.
Bill· HRH.R. 7035 (93rd)referred
United States · United States Congress · 16 April 1973
Authorizes the Secretary of Health, Education, and Welfare to make grants to nonprofit private entities and to enter into contracts with private entities: (1) for specified research and development projects designed to improve systems and delivery of health care for persons who are critically ill; (2) to support biomedical engineering projects for testing new instrumentation and systems for delivery of critical health care; and (3) for the establishment and initial operation of not more than ten critical care facilities for the delivery of health care to critically ill patients, which facilities would be used for clinical testing of new instrumentation and health care delivery systems and to train personnel in the use of such instrumentation and systems. Specifies conditions for such grants. Authorizes to be appropriated $20,000,000 to carry out the purposes of this Act.
Bill· HRH.R. 7010 (93rd)referred
United States · United States Congress · 16 April 1973
Veterans Health Care Expansion Act - Title I: Hospital, Domicilliary, and Medical Care Benefits - Extends the definition of "private facilities" for which the Administrator of Veterans' Affairs contracts in order to provide hospital care to include facilities for the wife or child of a veteran who has a total disability, permanent in nature, resulting from a service connected disability, and the widow or child of a veteran who died from such a disability. Includes in the term "hospital care" mental health services, consultation, professional counseling, and training of a veteran or dependent, or survivor if the veteran has no dependents, as may be necessary or appropriate to the effective treatment and rehabilitation of such individual. Adds home health services which the Administrator deems appropriate for the effective and economical treatment of a disability of a veteran, or dependent, or survivor, to the definition of the term "medical services." Extends to all veterans hospital or nursing home care if such veteran is unable to defray the expenses of the necessary care. Allows the Administrator to furnish hospital or nursing home care to the wife or child of a veteran who has a total disability, permanent in nature from a service connected disability, and the widow or child of a veteran who died from such a disability. Permits the Administrator to furnish medical services for any disability on an outpatient or ambulatory basis to persons already described in this act and to any veteran who has a service connected disability rated at eighty percent or more. Authorizes the Administrator, under such regulations as he might prescribe, to reimburse veterans entitled to hospital care as medical services for the reasonable value of such care or services for which such veterans have made payment from sources other than the Veterans' Administration. (Adds 38 U.S.C. 628) Authorizes the President to assist the Republic of the Philippines in providing medical care and treatment for Commonwealth Army veterans and new Philippine Scouts under certain conditions. (Amend 38 U.S.C. 631) Provides that the President may authorize the Administrator to enter into a contract with the Veterans Memorial Hospital, with the approval of the appropriate department of the Government of the Republic of the Philippines under which the United States: (1) will pay for hospital care in the Republic of the Philippines, or for medical services which shall be provided either in Veterans' Administration facilities, or by contract, or otherwise, by the Administrator in accordance with the conditions and limitations applicable generally to beneficiaries under this title, for Commonwealth Army veterans determined by the Administrator to be in need of such hospital care or medical services for service-connected disabilities; (2) will pay for hospital care at the Veterans Memorial Hospital for Commonwealth Army veterans determined by the Administrator to need such care for non-service-connected disabilities if they are unable to defray the expenses of necessary hospital care; and (3) will pay for hospital care, determined by the Administrator to be necessary, at the Veterans Memorial Hospital for new Philippine Scouts for service-connected disabilities and for non-service-connected disabilities, if they are unable to defray the expenses of necessary hospital care. Provides that the total of the payments authorized shall not exceed $2,000,000 for any one fiscal year ending before 1978. Authorizes to be appropriated for each fiscal year ending with fiscal year 1978, $100,000 to be used for the education and training of health service personnel at the hospital, and for the upgrading of equipment and in rehabilitating the physical plant and facilities of such hospital. (Amends 38 U.S.C. 632) Authorizes the Administrator to carry out a comprehensive program providing sickle cell anemia screening, counseling, and treatment and to carry out research and research training in the diagnosis, treatment, and control of sickle cell anemia based upon such screening examinations and treatment. Requires the Administrator to include such information in his annual report to Congress. (Adds 38 U.S.C. 651-654) Title II: Amendments to Chapter 73 of Title 38, United States Code Relating to the Department of Medicine and Surgery - Authorizes the Administrator to carry out a major program of recruitment training, and employment of veterans with various medical military occupation specialties in order to provide a complete medical and hospital service for the medical care and treatment of veterans and to assist in providing an adequate supply of health manpower to the nation. (Amends 38 U.S.C. 4101(b)) Establishes pay schedules for Assistant Chief Medical Directors, physicians and dentists, and nurses. Provides criteria on which nurses are to receive additional compensation. Enumerates restrictions on physicians, dentists, and nurses, including requirements that no such person may: (1) assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Veterans' Administration facility, except in those cases where the individual, upon request and with the approval of the Chief Medical Director, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed one hundred and eighty calendar days, which may be extended by the Chief Medical Director for additional periods not to exceed one hundred and eighty calendar days each; (2) teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with his responsibilities under this title; and (3) perform, in the course carrying out his responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for his personal benefit, or both. Provides that temporary full-time appointments of personnel, other than physicians, dentists, and nurses, shall not exceed one year. (Amends 38 U.S.C. 4114(a)(3)(A)) Provides that the Administrator may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and participating with the Veterans' Administration in the training of interns or residents to provide for the central administration of stipend payments, provision of fringe benefits, and maintenance of records for such interns and residents by the designation of one such institution to serve as a central administrative agency for this purpose. Permits the Administrator to pay to such designated agency, without regard to any other law or regulation governing the expenditure of Government moneys either in advance or in arrears, all amount to cover the costs for the period such intern or resident serves in a Veterans' Administration hospital. (Adds 38 U.S.C. 4114(b) (2)) Title III: Amendments to Chapter 81 of Title 38, United States Code _ Acquisition and Operation of Hospital and Domicilliary Facilities; Procurement and Supply - Requires the Administrator to provide for no less than an average of 98,500 operating beds in Veterans' Administration Hospitals and to maintain an average daily patient census in such beds of no less than 85,500 in any fiscal year. Authorizes the Administrator to establish and operate not less than eight thousand beds for the furnishing of nursing home care to eligible veterans over which the Administrator has direct and exclusive jurisdiction. (Amends 38 U.S.C. 5001(a)) Requires the Administrator to appoint an Advisory Committee on Structural Safety of Veterans' Administration Facilities to advise him on all matters of structural safety in the construction and remodeling of Veterans' Administration facilities. (Amends 38 U.S.C. 5001(b)) Title IV: Miscellaneous Amendments to Title 38 United States Code - Specifies certain miscellaneous amendments to title 38 of the United States Code. Title V: Effective Dates - Specifies the dates on which the provisions of this Act shall become effective.
Bill· HRH.R. 7068 (93rd)referred
United States · United States Congress · 16 April 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· SS. 1554 (93rd)referred
United States · United States Congress · 12 April 1973
Authorizes the Secretary of Defense to utilize Department of Defense resources for the purpose of providing medical emergency transportation services to civilians. (Adds 10 U.S.C. 2635)
Bill· HRH.R. 6906 (93rd)referred
United States · United States Congress · 12 April 1973
Abestosis and Mesothelioma Benefits Act - Title I: General - Sets forth the findings of Congress and defines the terms used in this Act. Title II: Claims for Benefits Filed on or Before December 31, 1974 - Authorizes the Secretary of Health, Education and Welfare to, in accordance with the provisions of this Title, and the regulations promulgated by him under this title, make payments of benefits in respect of total disability of any asbestos worker due to asbestosis or mesothelioma, and in respect of the death of any asbestos worker whose death was due to asbestosis or mesothelioma. Establishes formulae for determining the payment of benefits. Provides that benefit payments under this Act to an asbestos worker or his widow, child, parent, brother, or sister, shall be reduced, on a monthly or other appropriate basis, by an amount equal to any payment received by such worker or his widow, child, parent, brother, or sister, under the workmen's compensation, unemployment compensation, or disability insurance laws of his State on account of the disability of such worker, and the amount by which such payment would be reduced on account of excess earnings of such worker under the Social Security Act if the amount paid were a benefit payable under such Act. States that benefits payable under this title shall be deemed not to be income for purposes of the Internal Revenue Code. Establishes procedures and requirements for the filing of claims under this title. Title III: Claims for Benefits After December 31, 1974 - Declares that on and after January 1, 1975, any claim for benefits for death or total disability due to asbetosis or mesothelioma shall be filed pursuant to the applicable State workmen's compensation law, except that during any period when asbestos workers or their surviving widows, children, parents, brothers, or sisters, as the case may be, are not covered by a State workmen's compensation law which provides adequate coverage for asbetosis and mesothelioma they shall be entitled to claim benefits under this title. Directs the Secretary of Labor to, no later than October 1, 1973, publish in the Federal Register a list of State workmen's compensation laws which provide adequate coverage for asbestosis and mesothelioma and to revise and republish in the Federal Register such list from time to time, as may be appropriate to reflect changes in such State laws due to legislation or judicial or administrative interpretation. States that the action of the Secretary in including or failing to include any State workmen's compensation law on such list shall be subject to judicial review exclusively in the United States court of appeals for the circuit in which the State is located or the United States Court of Appeals for the District of Columbia. Requires that within one hundred and twenty days following the convening of each session of Congress the Secretary of Health, Education, and Welfare shall submit to the Congress an annual report upon the subject matter of title II of this Act, and, after January 1, 1975, the Secretary of Labor shall also submit such a report upon the subject matter of title III of this Act. Provides that nothing in this Act shall relieve any employer of the duty to comply with any State workmen's compensation law, except insofar as such State law is in conflict with the provisions of this Act and the Secretary by regulation, so prescribes. Provides that no employer shall discharge or in any other way discriminate against any asbestos worker employed by him by reason of the fact that such worker is suffering from asbestosis or mesothelioma.