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Bill· HRH.R. 13684 (93rd)referred
United States · United States Congress · 21 March 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Law· SS. 3203 (93rd)open
United States · United States Congress · 20 March 1974
Extends the coverage of the National Labor Relations Act to employees of nonprofit hospitals. Defines the term "health care institution" for purposes of this Act. Sets forth collective bargaining notice, mediation, and agreement procedures to govern employees of a health care institution.
Bill· HRH.R. 13622 (93rd)referred
United States · United States Congress · 20 March 1974
National Cancer Amendments - Revises the Public Health Service Act by authorizing the Director of the National Cancer Institute to provide and contract for a program to disseminate and interpret for practitioners and other health professionals, scientists, and the general public new scientific and other information respecting the cause, prevention, diagnosis, and treatment of cancer. Increases the authorized appropriations for the carrying out of the National Cancer Program. Makes various technical and conforming changes in the Public Health Service Act. Directs the Secretary of Health, Education, and Welfare to require appropriate scientific peer review of (1) applications made after the effective date of such regulations for grants under this Act for biomedical and behavioral research; and (2) biomedical and behavioral research and development contract projects to be administered after such effective date through an institute established under this Act, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, or the National Institute on Drug Abuse.
Bill· HRH.R. 13651 (93rd)referred
United States · United States Congress · 20 March 1974
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
Bill· HRH.R. 13604 (93rd)referred
United States · United States Congress · 20 March 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 13603 (93rd)referred
United States · United States Congress · 19 March 1974
Comprehensive Health Insurance Act - Title I: National Health Care Benefits Program - States that the purpose of this title is to provide adequate protection against costs by requiring all employers to offer health care plans to their employees; and to assist the States in making similar plans available to individuals in need of such protection. Requires, under the Social Security Act, that every employer provide to each of his employees under the age of 65 a reasonable opportunity, as determined under regulations prescribed by the Secretary of Health, Education, and Welfare, to obtain coverage for himself and the members of his family under the age 65 at the option of the employee: (1) an employee health care insurance plan approved under this title or an assisted health care insurance plan obtained by the employer, (2) a group practice prepaid health care plan approved under this title, or (3) an individual practice prepaid health care plan approved under this title. States that the employer shall provide an amount equal to at least 75 percent of the cost of that coverage. Prohibits discrimination against an individual with respect to the opportunity for employment, or the compensation, terms, condition, or privileges of employment, because of the individual's health status or the health status of his dependents, except when directly related to the capacity of the individual to perform his duties as an employee. Directs the Secretary to make grants for health care programs to States which have submitted approved plans for the provision of health care benefits to individuals under the age of 65 who are otherwise unable to obtain such benefits. Authorizes appropriations for each fiscal year of sums necessary to carry out this purpose. Requires that employee health care insurance plans provide for the following services for each covered individual: (1) inpatient hospital services; (2) physicians' services; (3) medical and other health services; (4) home health services; (5) post-hospital extended care services; (6) outpatient drugs and biologicals; (7) routine dental services for individuals under the age of 13: (8) developmental vision care services, as defined in regulations prescribed by the Secretary as routine eye and vision examinations, and eyeglasses, for individuals under the age of 13; and (9) hearing aids and examinations therefor, for individuals under the age of 13. Sets forth limits for employee health care insurance plans, including the following: (1) post-hospital extended care services shall be limited to 100 days per calendar year; (2) home health services must be limited to 100 visits per calendar year; and (3) inpatient hospital services for the treatment of mental illness shall be limited to 30 days per calendar year, with each day of partial hospitalization, as defined in regulations prescribed by the Secretary, counting as one-half day of inpatient services. Enumerates the requirements for meeting the provisions of this Act. States that a group practice pre-paid health care plan must: (1) provide physicians' services (other than infrequently used services, as determined under regulations prescribed by the Secretary) through physicians who are employees or partners of the organization, or through arrangements with one or more groups of physicians engaged in the coordinated practice of their profession for the organization; and (2) meet such requirements concerning its organizational structure and financial arrangements as the Secretary may, by regulation, prescribe. Provides that the Secretary may, by regulation, make such modifications in the requirements imposed by this section as he determines are appropriate with respect to group practice prepaid health care plans offered to employees whose place of employment is outside the United States. Sets forth requirements for approval of individual practice prepaid health care plans, approval of special employee health care programs, and requirement for certification of providers. States that any State dissatisfied with a determination of the Secretary with respect to whether the State is meeting the provisions of this Act may file a petition for review of such determination with the United States court of appeals to the circuit in which such state is located. Stipulates that the court shall have jurisdiction to affirm the action of the Secretary, or to set it aside, in whole or in part. Sets forth judicial remedies and criminal sanctions for noncompliance. Title II: General Provisions - States that if a provision of this Act is held invalid, all other provisions so enacted shall remain in effect.
Bill· HRH.R. 13596 (93rd)referred
United States · United States Congress · 19 March 1974
American Indian Health Care Education and Improvement Act - Expresses the findings of Congress. Declares that it is the policy of this Nation to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Directs the Secretary of Health, Education, and Welfare to make scholarship grants to specified health care individuals who agree to provide their professional services to Indians after completion of training. Prescribes the priorities to be followed in awarding such scholarships and the procedures to be followed if an individual fails to comply. Authorizes appropriations totaling $92,000,000 for fiscal years 1975 through 1978, and $36,000,000 for fiscal year 1979 and each succeeding fiscal year. Empowers the Secretary to make scholarship grants to Indians for undergraduate programs in the health care areas. Authorizes appropriations for such grants. Authorizes the Secretary to make scholarship grants to individuals who: (1) are currently employed by the Indian Health Service and who agree to continue such employment; and (2) are engaged in the field of Indian health care and who agree to provide services for a period of two years for each study grant. Authorizes appropriations for such purposes. Title II: Health Services - Authorizes the Secretary to expend, through the Service, $123,500,000 over a five-fiscal-year period to eliminate health service backlogs. Authorizes the appropriation of such amount for specified purposes, including patient care, field health, dental care, and maintenance and repair. Title III: Health Facilities - States that, for the purpose of eliminating inadequate, outdated, and otherwise unsatisfactory Service hospitals, health centers, stations, and other Service facilities, the Secretary is authorized to expend $400,000,000 over a five-fiscal-year period, in accordance with a specified schedule. Empowers the Secretary to expend, for the purpose of reducing health hazards, $470,000,000 over five fiscal years to supply unmet needs for safe water and sanitary waste disposal facilities in Indian homes and communities. Title IV: Access to Health Services - Provides that for purposes of title XVIII of the Social Security Act, the Service facilities used to provide health care to Indians are deemed to be accredited facilities and may receive payment for such services. Title V: Access to Health Services for Urban Indians - Defines the term "urban Indian." Empowers the Secretary to enter into contracts with urban Indian organizations to provide Federal assistance to such organizations for establishing outreach programs to make urban Indians knowledgeable of the health service resources available. Enumerates the conditions of such contracts and the criteria for selecting Indian urban organizations for contracts. Authorizes to be appropriated for the purpose of this title $3,000,000 for fiscal year 1975; $4,000,000 for fiscal year 1976; and $5,000,000 for fiscal year 1977. Title VI: Access to Health Services for Rural Indians - Defines the term "rural Indian." Directs the Secretary to: (1) provide grants to Indian tribal units requesting financial assistance for transportation and communication systems designed to assist in the delivery of medical care to rural Indians; (2) provide professional assistance for such systems; and (3) prescribe criteria for the awarding of such grants. Authorizes appropriations for carrying out the purposes of this title. Title VII: Indian Health Problem Research - Requires the Secretary to direct the National Science Foundation to provide grants for research into disease and immunology among Indians, and other specified areas of Indian health concern. Authorizes appropriations for such purposes. Title VIII: Miscellaneous - Directs the Secretary to report annually to the President and the Congress on the progress made in effecting the purposes of this Act.
Bill· HRH.R. 13537 (93rd)referred
United States · United States Congress · 18 March 1974
National Health Education Policy and Development Act - Sets forth the findings and declarations of Congress. Establishes within the Department of Health, Education, and Welfare a Health Education Administration to be headed by an Administrator appointed by the Secretary of Health, Education, and Welfare. Establishes an Advisory Council for Health Education to advise, consult with, and make recommendations to, the Administrator on matters relating to the administration of this Act. Declares that the Council shall be composed of 12 members: (1) the Assistant Secretary of Health, Education, and Welfare for Health; (2) the Assistant Secretary of Health, Education, and Welfare for Education; and (3) 10 appointed by the Administrator. Directs the Administrator to conduct a study and investigation of, but not limited to the following: (1) the current status of health education in the Nation; (2) the existing and proposed Federal, State, and local health education programs; (3) factors bearing upon a consumer's motivation for preserving his own health and utilizing health care services; (4) areas of greatest potential impact for health education; and (5) particularized cultural needs, including those relating to diseases affecting specific ethnic, economic, and geographic populations. Requires the Administrator to make grants to public or nonprofit private organizations or to enter into contracts with public or private organizations for the purpose of developing and evaluating specific educational and informational mechanisms, aids, and systems. Directs the Administrator to make grants to public or nonprofit private organizations for the purpose of developing multifaceted systems of health care education for a defined geographic region. Provides that no such grant may be made unless an application has been submitted to and approved by the Secretary. Requires the Administrator to submit annual reports to Congress and the Secretary of Health, Education, and Welfare on the status of health education in the United States. Directs the Administrator, not later than 3 years after the date of the enactment of this Act, to submit a report to Congress and the Secretary on his recommendations for a continuing program of health education and for consolidation of the existing health education and consultation programs.
Bill· HRH.R. 13547 (93rd)referred
United States · United States Congress · 18 March 1974
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1974, and ending June 30, 1976, such sums as may be necessary to carry out the purpose of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hempophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of actions conducted under this Act.
Bill· HRH.R. 13556 (93rd)referred
United States · United States Congress · 18 March 1974
National Comprehensive Vision Care Act - Directs the Secretary of Health, Education, and Welfare to make annual grants to the States for the costs of establishing and operating programs under which students in public schools: (1) will receive free vision test; and (2) will be provided, without charge, appropriate necessary follow up services (including opthalmologic and optometric services and eyeglasses). Authorizes such grants to be used to train personnel to administer such tests. Directs the Secretary to establish a panel to advise him with respect to the standards to be prescribed by him under this Act for qualified vision tests. States that such panel shall be composed of four ophthalmologists and four optometrists who by virtue of their training and experience are especially qualified to advise the Secretary with respect to such standards. Requires the Secretary to make an annual report to the Congress respecting the grant program authorized under this Act and to include in such report his recommendations for such legislation as he deems appropriate.
Bill· HRH.R. 13525 (93rd)referred
United States · United States Congress · 14 March 1974
Home Health Services Act - Provides, under the Public Health Service Act, for the establishment and initial operation of public and nonprofit private agencies which will provide home health services in areas in which such services are not otherwise available. Authorizes the Secretary of Health, Education, and Welfare to make grants: (1) to meet the initial and expanding costs of such agencies; and (2) for programs for the training of professional and paraprofessional personnel to provide home health services. Authorizes the appropriation of such sums as may be necessary to carry out this Act.
Bill· HRH.R. 13518 (93rd)referred
United States · United States Congress · 14 March 1974
Comprehensive Medicare Reform Act - Title I: Revision of Medicare Entitlement and Benefits - Repeals Parts A (Hospital Insurance Benefits for the Aged) and Part B (Supplementary Medical Insurance Benefits for the Aged) of Title XVIII (Health Insurance for the Aged) of the Social Security Act and enacts in lieu of those parts the provisions of this title. Lowers the age for participation in the Insurance Plan (Medicare) provided under title XVIII for specified classes of individuals. Makes the following classes of persons entitled to benefits under such title: (1) specified individuals receiving disability payments, and (2) specified individuals with chronic renal disease. Specifies covered institutional services including, but not limited to: (1) inpatient and outpatient hospital services; (2) skilled-nursing home services; (3) intermediate-care facility services; and (4) home health services. Lists the following covered services: (1) physicians' services (including psychiatric services if provided by a health maintenance organization); (2) dental services; (3) drugs; (4) devices, appliances, and equipment (if the item is prescribed or certified as medically necessary by an appropriate professional practitioner and if it appears on a current list of items established by the Secretary of Health, Education, and Welfare); and (5) other professional and supporting services, including, but not limited to (a) the professional services of optometrists, (b) the professional services of podiatrists, and (c) the diagnostic services of independent pathology laboratories, and diagnostic and therapeutic radiology furnished by independent radiology services. Excludes services and items from coverage under this title, including but not limited to: (1) services furnished outside the United States, with an exception for specified hospital services and related professional services; (2) the furnishing of personal comfort items; (3) purely custodial care; (4) cosmetic services; and (5) services for which the individual has no legal obligation to pay. Provides for the reduction in the amounts otherwise payable under this title from the Medicare Trust Fund with respect to a covered service based upon the applicable amount of coinsurance held by individuals entitled to benefits under this title. Provides for exceptions to the above reductions in the cases of low-income persons, members of low-income families, and specified cases of payment of catastrophic expense benefits. Sets forth a schedule for the degree of payment reduction by type of service to be effectuated by the individual's coinsurance amount. Sets forth an initial table for the determination of income classes for individuals and members of families under this title. Provides for the periodic revision of income classes established under this title. Provides for the periodic revision of the catastrophic expense benefit expenditure limitations sets under this title. Provides that payment of covered services provided to an individual by an institutional provider shall be made only to that provider. States that the amount payable to that provider with respect to such services shall be the reasonable cost of the services to the provider governed by the provisions of this title less the amount of any payment of coinsurance. Provides that payment for covered services that were furnished to an individual by a noninstitutional provider shall be made only to: (1) the participating provider who furnished the services, or (2) in the case of emergency services furnished by a nonparticipating provider, either (a) to the individual on the basis of an itemized bill, or (b) to the provider on the basis of an assignment from the individual. Authorizes the Secretary to enter into contracts with carriers under which the carrier, on behalf of the Secretary (and subject to review by the Secretary), will perform administrative functions, including the administration of benefits under this Act. Provides that no contract shall be entered into with a carrier unless the Secretary finds that the carrier will perform its obligations under the contract efficiently and effectively and will meet such requirements as to financial responsibility, legal authority, and other matters as he finds pertinent. Creates the Medicare Trust Fund which shall consist of the assets and liabilities of the Federal Hospital Insurance Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes to be appropriated to the Trust Fund a Government contribution in an amount, as estimated by the Board of Trustees, which when added to other income and assets of the Trust Fund will make the Trust Fund sufficient for the prompt payment of all amounts required or authorized by law to be paid therefrom. Authorizes the Board to borrow funds from the Treasury, pending the approval by Congress of the Government contribution, if the Board determines that the amount of the Trust Fund is insufficient to make all required payments in the next three calendar months. Creates an Institutional Provider Reimbursement Review Board to hear disputes presented by any institutional provider of services which has filed a required cost report (for purposes of reimbursement) within the time specified in regulations if: (1) the provider is dissatisfied with a final determination of the organization serving as its fiscal intermediary as to the amount of total program reimbursement due the provider for the items and services furnished to individuals for which payment may be made under this title for the period covered by the report; (2) the amount in controversy is $10,000 or more; and (3) the provider files a request for a hearing within 180 days after notice of the intermediary's final determination. Title II: Health Insurance Taxes - Defines the term "employment" for purposes of the health insurance tax provisions of the Internal Revenue Code of 1954. Provides for the exclusion of employer payment of employee taxes from employees' gross income as determined under such provisions of such Code. Title III: Studies Related to Long-Term Care - Authorizes the Secretary of Health, Education, and Welfare, the Secretary of Housing and Urban Development, and the Secretary of Labor to conduct a joint study on the subject of health related and other long-term institutional care. Authorizes additional studies by the Secretary of Health, Education, and Welfare and the Secretary of Housing and Urban Development concerning the provision of social services to enable elderly persons to live in their own homes. Requires the Secretaries to submit reports to the President and the Congress not later than two years after the date of enactment of this Act.
Bill· HRH.R. 13514 (93rd)referred
United States · United States Congress · 14 March 1974
Revises the Public Health Service Act to extend to commissioned officers of the Public Health Service the benefits and immunities of the Soldiers' and Sailors' Civil Relief Act.
Bill· HRH.R. 13510 (93rd)referred
United States · United States Congress · 14 March 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 13489 (93rd)referred
United States · United States Congress · 14 March 1974
Directs the Secretary of Health, Education, and Welfare to require, under the Social Security Act, that skilled nursing facilities and intermediate care facilities adopt and make public a statement of the rights and responsibilitites of the patients who are receiving treatment in such facilities and treat their patients in accordance with the provisions of such public statement. Provides that the Secretary shall require that the statement include specified items, including: (1) a guarantee that the patient's civil and religious liberties will not be infringed; (2) a guarantee of the patient's right to have private and unrestricted communications with his physician, attorney, and any other person; (3) a guarantee of the patient's right to manage his own financial affairs, or to have a monthly accounting of any financial transactions in his behalf; (4) a guarantee of the patient's right to present grievances on behalf of himself or others; (5) a guarantee of the patient's right to receive at least adequate and appropriate medical care and to be fully informed of his medical condition and proposed treatment, and to participate in the planning of all medical treatment; (6) a guarantee the patient's right to have privacy in treatment for personal needs, confidentiality in the treatment of records, and security in storing personal possessions; (7) a guarantee of the patient's right to receive courteous, fair, and equal treatment and services and a written statement of the services provided by the facility; (8) a guarantee of the patient's right to be free from mental and physical abuse and from physical and chemical restraints; (9) a statement of the facility's regulations and an explanation of the patient's responsibility to obey all reasonable regulations; and (10) a guarantee that, should the patient be adjudicated incompetent in accordance with State law and not be restored to legal capacity, the above rights and responsibilities shall devolve upon a sponsor or guardian.
Bill· SS. 3166 (93rd)referred
United States · United States Congress · 13 March 1974
Health Resources Planning Act - Declares that it is the purpose of this Act to assist private and public health care systems to plan more effectively the provision of resources necessary to meet the health care needs of the nation, and to facilitate governmental regulation of health care costs. Repeals provisions of the Public Health Service Act, which provide for a National Advisory Council on Comprehensive Health Planning Programs. Directs the chief executive officer of each State to designate geographical regions as health service areas to be served by the Health Systems Agencies. Identifies the geographical characteristics of such health service areas. Directs the Secretary of Health, Education, and Welfare to certify a Health Systems Agency for each health service area and to enter into an agreement obligating the Agency: (1) to prepare and maintain a comprehensive plan for the health service area; (2) to review the Secretary's grants of Federal financial assistance for health care activities; (3) to review State and local health care activities; (4) to offer technical assistance in furtherance of the health plan, (5) to participate in the Statewide Health Coordinating Council; and (6) to comply with subsidiary requirements, including auditory and examination of books. Empowers the Secretary to make grants for an agency's operational expenses and to extend to the Agency technical assistance, and to keep it apprised of national health policies and issues. Prescribes the procedures for termination or withdrawal of certification and the organizational requirements to be met by agencies, including that an agency be a nonprofit private corporation that exercises no Federal, State, or local regulatory authority, and is not a provider or insurer of health services or an educational institution. Outlines the composition of the governing body of each agency. Provides that members and employees of the agency are relieved of civil or criminal liability under any law for the performance, with the exercise of due care, of functions authorized by this Act. States that an agency may receive unconditional contributions from any private source of up to 5 percent of the amount of assistance received from the Secretary, and of up to 25 percent of that amount from any public sources. Requires each agency to annually adopt a comprehensive health plan for its health service area identifying shortages, maldistributions, and surpluses of health personnel, facilities, and services, and the most serious organizational and operational deficiencies of health care providers. States that the plan must set forth long-range goals and annual priorities for the establishment or improvement of health care systems, and recommend actions to alleviate the problems identified by the plan. Provides that an agency may provide technical assistance, directly or by grant or contract, to implement the recommendations of its comprehensive health plan. Sets limitations on the purpose, amount and duration of such grants. Requires that two or more agencies that serve health service areas that fall, in whole or in part, within the same State shall form a Statewide Health Coordinating Council. Directs the Council to draw on the comprehensive health plans of its member agencies to prepare a Statewide plan, and perform other advisory analytical and coordinative functions. Directs the Secretary to evaluate the performance of agencies and councils on a regular basis and to prescribe standards of performance to facilitate this evaluation. Authorizes the appropriation of such sums as may be necessary for fiscal years 1975, 1976, and 1977 to carry out the provisions of this Act. Establishes a formula grant program to assist the States to pay their costs of regulating capital expenditures related to health care, and to establish or regulate rates used for the payment or reimbursement for health care services. Provides that the allotment would be in accordance with the populations of the respective States eligible for it, and the costs of regulating the activities selected by the States for regulation. States that the Secretary, after reasonable notice and opportunity for hearing to a State, may terminate assistance for noncompliance. Authorizes the appropriation of such sums as may be necessary for fiscal years 1975, 1976, and 1977 for grants to States for the regulation of health care costs.
Bill· SS. 3181 (93rd)referred
United States · United States Congress · 13 March 1974
National Health Service Corps Amendment - Establishes, within the Public Health Service, the National Health Service Corps to improve the delivery of health services to medically underserved populations. Directs the Secretary of Health, Education, and Welfare to designate the medically underserved populations in the States. Defines the term "medically underserved population" and enumerates the factors to be taken into account in making such designations, including: (1) ratios of available health manpower to the population; (2) indicators of the population's access to health services; and (3) indicators of health status and need of the population. Empowers the Secretary to assign Corps personnel to State health agencies, private health entities, local governments, and medical, dental or other appropriate health societies. Enumerates the requirements to be met prior to the making of any such assignments and for the continuing of expired assignments. Provides that Corps personnel shall be assigned on the basis of the extent of the population's need for health services and without regard to the ability of the members of the population to pay for health services. Directs the Secretary, in making an assignment, to seek to match characteristics of the assignee and of the population in order to increase the likelihood of the assignee remaining to serve the population upon completion of his assignment period. Authorizes the Secretary to: (1) provide technical assistance to all medically underserved populations to which are not assigned Corps personnel; (2) make arrangements to enable Corps personnel to utilize the health facilities of the areas in which the population resides; and (3) make grants, with specified limitations, for purposes of providing health services. States that the Secretary shall require as a condition to the approval of an application that the entity enter into an appropriate arrangement with the Secretary under which: (1) the entity shall be responsible for charging for health services by the Corps personnel to be assigned; (2) the entity shall take action for the collection of payments for such health services; and (3) the entity shall pay to the United States specified, calculated amounts. Directs the Secretary to conduct, at schools of the health professions and allied health professions, recruiting programs for the Corps. Provides for the Secretary to adjust the monthly rate of pay of each physician and dentist member of the Corps who is directly engaged in the delivery of health services to a medically underserved population. Requires the Secretary to report annually to the Congress and specifies the content of such reports. Establishes the National Advisory Council on the National Health Service Corps to consult with, advise, and make recommendations to, the Secretary with respect to his responsibilities in carrying out this Act, and to review and approve regulations promulgated by the Secretary. Authorizes to carry out the provisions relating to the National Health Service Corps to be appropriated $25,000,000 for fiscal year 1974; $30,000,000 for fiscal year 1975; $35,000,000 for fiscal year 1976; and $40,000,000 for fiscal year 1977. Requires the Secretary to: (1) report to Congress the criteria used by him in designating medically underserved populations; and the number of populations in each State meeting such criteria; and (2) conduct or contract for studies of methods of assigning National Health Service Crops personnel to medically underserved populations and of providing health care to such populations. Directs the Secretary to establish the Public Health and National Health Service Corps Scholarship Training Program to obtain trained physicians, dentists, nurses, or other health-related specialists for the National Health Service Corps or other units of the Service. Enumerates the eligibility requirements for participation in such program and the regulations governing program members. Provides that, to carry out the program, there is authorized to be appropriated $3,000,000 for fiscal year 1974; $20,000,000 for fiscal year 1975; $25,000,000 for fiscal year 1976; and $30,000,000 for fiscal year 1977.
Bill· HRH.R. 13469 (93rd)referred
United States · United States Congress · 13 March 1974
National Health Service Corps Amendment - Establishes, within the Public Health Service, the National Health Service Corps to improve the delivery of health services to medically underserved populations. Directs the Secretary of Health, Education, and Welfare to designate the medically underserved populations in the States. Defines the term "medically underserved population" and enumerates the factors to be taken into account in making such designations, including: (1) ratios of available health manpower to the population; (2) indicators of the population's access to health services; and (3) indicators of health status and need of the population. Empowers the Secretary to assign Corps personnel to State health agencies, private health entities, local governments, and medical, dental or other appropriate health societies. Enumerates the requirements to be met prior to the making of any such assignments and for the continuing of expired assignments. Provides that Corps personnel shall be assigned on the basis of the extent of the population's need for health services and without regard to the ability of members of the population to pay for health services. Directs the Secretary, in making an assignment, to seek to match characteristics of the assignee and of the population in order to increase the likelihood of the assignee remaining to serve the population upon completion of his assignment period. Authorizes the Secretary to: (1) provide technical assistance to all medically underserved populations to which are not assigned Corps personnel; (2) make arrangements to enable Corps personnel to utilize the health facilities of the areas in which the population resides; and (3) make grants, with specified limitations, for purposes of providing health services. States that the Secretary shall require as a condition to the approval of an application that the entity enter into an appropriate arrangement with the Secretary under which: (1) the entity shall be responsible for charging for health services by the Corps personnel to be assigned; (2) the entity shall take action for the collection of payments for such health services; and (3) the entity shall pay to the United States specified, calculated amounts. Directs the Secretary to conduct, at schools of the health professions and allied health professions, recruiting programs for the Corps. Provides for the Secretary to adjust the monthly rate of pay of each physician and dentist member of the Corps who is directly engaged in the delivery of health services to a medically underserved population. Requires the Secretary to report annually to the Congress and specifies the content of such reports. Establishes the National Advisory Council on the National Health Service Corps to consult with, advise, and make recommendations to, the Secretary with respect to his responsibilities in carrying out this Act, and to review and approve regulations promulgated by the Secretary. Authorizes to carry out the provisions relating to the National Health Service Corps to be appropriated $25,000,000 for fiscal year 1974; $30,000,000 for the fiscal year 1975; $35,000,000 for fiscal year 1976; and $40,000,000 for fiscal year 1977. Requires the Secretary to: (1) report to Congress the criteria used by him in designating a medically underserved populations, and the number of populations in each State meeting such criteria; and (2) conduct or contract for studies of methods of assigning National Health Service Corps personnel to medically underserved populations and of providing health care to such populations. Directs the Secretary to establish the Public Health and National Health Service Corps Scholarship Training Program to obtain trained physicians, dentists, nurses, or other health-related specialists for the National Health Service Corps or other units of the Service. Enumerates the eligibility requirements for participation in such program and the regulations governing program members. Provides that, to carry out the program, there is authorized to be appropriated $3,000,000 for fiscal year 1974; $20,000,000 for fiscal year 1975; $25,000,000 for fiscal year 1976; and $30,000,000 for fiscal year 1977.
Bill· HRH.R. 13461 (93rd)referred
United States · United States Congress · 13 March 1974
Health Care Management Act - Defines the terms used in this Act. Title I: Prospective Payments to Hospitals - Directs the Secretary of Health, Education, and Welfare to develop and make available to hospitals one or more methods of obtaining payment on a prospective basis for services provided under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. States that hospitals will have the option of electing either one of such prospective payment methods, or as an alternative, the retrospective cost method of payment for services defined in the Social Security Act. Provides that prospective payment methods authorized under this title shall include in their design provisions: (1) for financial incentives for efficiency and effectiveness of hospital operations; (2) which provide for equity between various payor groups; (3) to assure the substantial participation by hospitals in such prospective payment methods; (4) to assure the availability of hospital services of high quality to beneficiaries and recipients under titles XVIII and XIX of the Social Security Act; and (5) for maintaining independent management discretion and responsibility in such hospitals. Requires the Secretary to submit to the Congress annually a full report on the impact of prospective payment methods on the efficiency and effectiveness of hospital operations. Title II: Quality Management Payments - Provides that the Secretary shall award on an annual basis quality management payments to any hospital under titles XVIII and XIX of the Social Security Act, which does not elect to participate under title I of this Act, whenever either the percentage amount or the dollar amount of increase in the hospital's actual operating cost on a unit basis, as defined by Secretary, for a fiscal year is less than the average annual increase in such percentage or amount for the three previous fiscal years for all hospitals in the same class. States that to serve as an incentive for hospitals to contain the level of increase in prospective rates or amounts, the Secretary shall establish a quality management payment system to apply to hospitals electing to participate in prospective rate programs under title I of this Act.
Bill· HRH.R. 13450 (93rd)referred
United States · United States Congress · 13 March 1974
Directs the Secretary of Health, Education, and Welfare to make grants to public and nonprofit private entities and to enter into contracts with public and private entities for research and development projects to focus and effectively apply scientific and technological efforts involving physical and engineering sciences to all facets of the delivery of health care, including projects for the refinement, development, and evaluation of instrumentation for the detection, diagnosis, and treatment of disease. States that for the purpose of making payments pursuant to grants and contracts under this section, there are authorized to be appropriated $150,000,000 for fiscal year 1974, $200,000,000 for fiscal year 1975, and $250,000,000 for fiscal year 1976.
Bill· HRH.R. 13453 (93rd)referred
United States · United States Congress · 13 March 1974
Provides payment under the supplementary medical insurance program for optometrists' services and eyeglasses pursuant to title XVIII (Medicare) of the Social Security Act.
Bill· HRH.R. 13463 (93rd)referred
United States · United States Congress · 13 March 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 13472 (93rd)referred
United States · United States Congress · 13 March 1974
Health Resources Planning Act - Declares that it is the purpose of this Act to assist private and public health care systems to plan more effectively the provision of resources necessary to meet the health care needs of the nation, and to facilitate governmental regulation of health care costs. Repeals provisions of the Public Health Service Act, which provide for a National Advisory Council on Comprehensive Health Planning Programs. Directs the chief executive officer of each State to designate geographical regions as health service areas to be served by the Health Systems Agencies. Identifies the geographical characteristics of such health service areas. Directs the Secretary of Health, Education, and Welfare to certify a Health Systems Agency for each health service area and to enter into an agreement obligating the Agency: (1) to prepare and maintain a comprehensive health plan for the health service area, (2) to review the Secretary's grants of Federal financial assistance for health care activities, (3) to review State and local health care activities; (4) to offer technical assistance in furtherance of the health plan; (5) to participate in the Statewide Health Coordinating Council; and (6) to comply with subsidiary requirements, including auditing and examination of books. Empowers the Secretary to make grants for an agency's operational expenses and to extend to the agency technical assistance, and to keep it apprised of national health policies and issues. Prescribes the procedures for termination or withdrawal of certification and the organizational requirements to be met by agencies, including that an agency be a nonprofit private corporation that exercises no Federal, State, or local regulatory authority, and is not a provider or insurer of health services or an educational institution. Outlines the composition of the governing body of each agency. Provides that members and employees of the Agency are relieved of civil or criminal liability under any law for the performance, with the exercise of due care of functions authorized by this Act. States that an agency may receive unconditional contributions from any private source of up to 5 percent of the amount of assistance received from the Secretary, and of up to 25 percent of that amount from any public sources. Requires each agency to annually adopt a comprehensive health plan for its health service area identifying shortages, maldistributions, and surpluses of health personnel, facilities, and services, and the most serious organizational and operational deficiencies of health care providers. States that the plan must set forth long-range goals and annual priorities for the establishment or improvement of health care systems, and recommend actions to alleviate the problems identified by the plan. Provides that an agency may provide technical assistance, directly or by grant or contract to implement the recommendations of its comprehensive health plan. Sets limitations on the purpose, amount and duration of such grants. Requires that two or more agencies that serve health service areas that fall in whole or in part, within the same State shall form a Statewide Health Coordinating Council. Directs the Council to draw on the comprehensive health plans of its member agencies to prepare a Statewide plan, and perform other advisory analytical, and coordinative functions. Directs the Secretary to evaluate the performance of agencies and Councils on a regular basis and to prescribe standards of performance to facilitate this evaluation. Authorizes the appropriation of such sums as may be necessary for fiscal years 1975, 1976, and 1977 to carry out the provisions of this Act. Establishes a formula grant program to assist the States to pay their costs of regulating capital expenditures related to health care, and to establish or regulate rates used for the payment or reimbursement for health care services. Provides that the allotment would be in accordance with the populations of the respective States eligible for it, and the costs of regulating the activities selected by the States for regulation. States that the Secretary, after reasonable notice and opportunity for hearing to a State, may terminate assistance for noncompliance. Authorizes the appropriation of such sums as may be necessary for fiscal years 1975, 1976, and 1977, for grants to States for the regulation of health care costs.
Bill· HRH.R. 13447 (93rd)referred
United States · United States Congress · 13 March 1974
Comprehensive Health Insurance Act - Title I: National Health Care Benefits Program. States that the purpose of this title is to provide adequate protection against costs by requiring all employers to offer health care plans to their employees; and to assist the States in making similar plans available to individuals in need of such protection. Requires, under the Social Security Act, that every employer provide to each of his employees under the age of 65 a reasonable opportunity, as determined under regulations prescribed by the Secretary of Health, Education, and Welfare, to obtain coverage for himself and the members of his family under the age 65 at the option of the employee: (1) an employee health care insurance plan approved under this title or an assisted health care insurance plan obtained by the employer, (2) a group practice prepaid health care plan approved under this title, or (3) an individual practice prepaid health care plan approved under this title. States that the employer shall provide an amount equal to at least 75 percent of the cost of that coverage. Prohibits discrimination against an indiviudal with respect to the opportunity for employment, or the compensation, terms, condition, or privileges of employment, because of the individual's health status or the health status of his dependents, except when directly related to the capacity of the individual to perform his duties as an employee. Directs the Secretary to make grants for health care programs to States which have submitted approved plans for the provision of health care benefits to individuals under the age of 65 who are otherwise unable to obtain such benefits. Authorizes appropriations for each fiscal year of sums necessary to carry out this purpose. Directs the Secretary to establish a Federal health care benefits program under which an individual who has attained the age of 65 and is entitled to monthly insurance benefits under Title II of this Act (Old-Age, Survivor's, and Disability Insurance Benefits) shall be entitled to Federal health care benefits under Title XVIII (Medicare). States that the benefits provided under the program shall be at the option of the individual: (1) to obtain coverage under the Federal health care insurance plan, or (2) to have the Secretary pay to any prepaid health care plan approved under this title under which the individual has obtained coverage at a rate which the Secretary determines is reasonable, on behalf of the individual, an amount equal to the cost to the Government of providing coverage under a Federal health care insurance plan, as determined under regulations prescribed by the Secretary. Provides that the Federal health care insurance plan shall impose, with respect to all items and services other than outpatient drugs and biologicals, and other blood and blood product, a per individual deductible equal to a specified percentage of the income base. States that the Federal health care insurance plan shall provide: (1) that an account will be established against which a covered individual may charge the cost of obtaining items and services covered under the plan, without regard to the deductible and coinsurance requirements applicable under the plan; (2) that payment for items and services covered under the plan, other than emergency services, will be made only on the basis of charges against that account; and (3) that payment will be made on the basis of charges against the account for items and services covered under the plan at the applicable reimbursement rates. Authorizes the Secretary to enter into contracts with carriers for the administration of benefits under the Federal health care insurance program. Establishes a Federal Helath Care Benefits Trust Fund. States that the Trust Fund shall consist of such gifts and bequests as may be made together with such amounts as may be deposited in, or appropriated to, such Fund under the provisions of this Act. Sets forth criteria for determining the amount to be aporopriated to the Trust Fund for each fiscal year. Establishes a Board of Trustees to be composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare. States that the duties of the Board of Trustees shall be to: (1) hold the Trust Fund; (2) report to the Congress not later than the first day of April of each year on the operation and status of the Trust Fund during the preceding fiscal year and on its expected operation and status during the current fiscal year and the next two fiscal years; (3) report immediately to the Congress whenever the Board is of the opinion that the amount of the Trust Fund is unduly small; and (4) review the general policies followed in managing the Trust Fund, and recommend changes in such policies, including necessary changes in the provisions of law which govern the way in which the Trust Fund is to be managed. Requires that employee health care insurance plans provide for the following services for each covered individual: (1) inpatient hospital services; (2) physicians' services; (3) medical and other health services; (4) home health services; (5) post-hospital extended care services; (6) outpatient drugs and biologicals; (7) routine dental services for individuals under the age of 13; (8) developmental vision care services, as defined in regulations prescribed by the Secretary routine eye and vision examinations, and eyeglasses, for individuals under the age of 13; and (9) hearing aids and examinations therefor, for individuals under the age of 13. Sets forth limits for employee health care insurance plans, including the following: (1) post-hospital extended care services shall be limited to 100 days per calendar year; (2) home health services must be limited to 100 visits per calendar year; and (3) inpatient hospital services for the treatment of mental illness shall be limited to 30 days per calendar year, with each day of partial hospitalization, as defined in regulations prescribed by the Secretary, counting as one-half day of inpatient services. Enumerates the requirements for meeting the provisions of this Act. States that a group practice pre-paid health care plan must: (1) provide physicians' services (other than infrequently used services, as determined under regulations prescribed by the Secretary) through physicians who are employees or partners of the organization, or through arrangements with one or more groups of physicians engaged in the coordinated practice of their profession for the organization; and (2) meet such requirements concerning its organizational structure and financial arrangements as the Secretary may, by regulation, prescribe. Provides that the Secretary may, by regulation, make such modifications in the requirements imposed by this section as he determines are appropriate with respect to group practice prepaid health care plans offered to employees whose place of employment is outside the United States. Sets forth requirements for approval of individual practice prepaid health care plans, approval of special employee health care programs, and requirements for certification of providers. States that any State dissatisfied with a determination of the Secretary with respect to whether the State is meeting the provisions of this Act may file a petition for review of such determination with the United States court of appeals to the circuit in which such state is located. Stipulates that the court shall have jurisdiction to affirm the action of the Secretary, or to set it aside, in whole or in part. Sets forth judicial remedies and criminal sanctions for noncompliance. Title II: Reduction in Services Provided Under Medical Assistance Programs - Sets forth technical and conforming amendments to the Medical Program. Title III: Sets forth technical and conforming amendments to the Professional Standards Review Program, and the Capital Expenditures Review Program. Title IV - General Provisions: States that if a provision of this Act is held invalid, all other provisions so enacted shall remain in effect.
Bill· SS. 3154 (93rd)referred
United States · United States Congress · 12 March 1974
Comprehensive Medicare Reform Act - Title I: Revision of Medicare Entitlement and Benefits - Repeals Parts A (Hospital Insurance Benefits for the Aged) and Part B (Supplementary Medical Insurance Benefits for the Aged) of Title XVIII (Health Insurance for the Aged) of the Social Security Act and enacts in lieu of those parts the provisions of this title. Lowers the age for participation in the Insurance Plan (Medicare) provided under title XVIII for specified classes of individuals. Makes the following classes of persons entitled to benefits under such title: (1) specified individuals receiving disability payments, and (2) specified individuals with chronic renal disease. Specifies covered institutional services including, but not limited to: (1) inpatient and outpatient hospital services; (2) skilled-nursing home services; (3) intermediate-care facility services; and (4) home health services. Lists the following covered services: (1) physicians' services (including psychiatric services if provided by a health maintenance organization); (2) dental services; (3) drugs; (4) devices, appliances, and equipment (if the item is prescribed or certified as medically necessary by an appropriate professional practitioner and if it appears on a current list of items established by the Secretary of Health, Education, and Welfare); and (5) other professional and supporting services, including, but not limited to (a) the professional services of optometrists, (b) the professional services of podiatrists, and (c) the diagnostic services of independent pathology laboratories, and diagnostic and therapeutic radiology furnished by independent radiology services. Excludes services and items from coverage under this title, including but not limited to: (1) services furnished outside the United States, with an exception for specified hospital services and related professional services; (2) the furnishing of personal comfort items; (3) purely custodial care; (4) cosmetic services; and (5) services for which the individual has no legal obligation to pay. Provides for the reduction in the amount otherwise payable under this title from the Medicare Trust Fund with respect to a covered service based upon the applicable amount of coinsurance held by individuals entitled for benefits under this title. Provides for exceptions to the above reductions in the cases of low-income persons, members of low-income families, and specified cases of payment of catastrophic expense benefits. Sets forth a schedule for the degree of payment reduction by type of service to be effectuated by the individual's coinsurance amount. Sets forth an initial table for the determination of income classes for individuals and members of families under this title. Provides for the periodic revision of income classes established under this title. Provides for the periodic revision of the catastrophic expense benefit expenditure limitations under this title. Provides that payment of covered services provided to an individual by an institutional provider shall be made only to that provider. States that the amount payable to that provider with respect to such services shall be the reasonable cost of the services to the provider governed by the provisions of this title less the amount of any payment of coinsurance. Provides that payment for covered services that were furnished to an individual by a noninstitutional provider shall be made only to: (1) the participating provider who furnished the services, or (2) in the case of emergency services furnished by a nonparticipating provider, either (a) to the individual on the basis of an itemized bill, or (b) to the provider on the basis of an assignment from the individual. Authorizes the Secretary to enter into contracts with carriers under which the carrier, on behalf of the Secretary (and subject to review by the Secretary), will perform administrative functions, including the administration of benefits under this Act. Provides that no contract shall be entered into with a carrier unless the Secretary finds that the carrier will perform its obligations under the contract efficiently and effectively and will meet such requirements as to financial responsibility, legal authority, and other matters as he finds pertinent. Creates the Medicare Trust Fund which shall consist of the assets and liabilities of the Federal Hospital Insurance Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes to be appropriated to the Trust Fund a Government contribution in an amount, as estimated by the Board of Trustees, which when added to other income and assets of the Trust Fund will make the Trust Fund sufficient for the prompt payment of all amounts required or authorized by law to be paid therefrom. Authorizes the Board to borrow funds from the Treasury, pending the approval by Congress of the Government contribution, if the Board determines that the amount of the Trust Fund is insufficient to make all required payments in the next three calendar months. Creates an Institutional Provider Reimbursement Review Board to hear disputes presented by any institutional provider of services which has filed a required cost report (for purposes of reimbursement) within the time specified in regulations if: (1) the provider is dissatisfied with a final determination of the organization serving as its fiscal intermediary as to the amount of total program reimbursement due the provider for the items and services furnished to individuals for which payment may be made under this title for the period covered by the report; (2) the amount in controversy is $10,000 or more; and (3) the provider files a request for a hearing within 180 days after notice of the intermediary's final determination. Title II: Health Insurance Taxes - Defines the term "employment" for purposes of the health insurance tax provisions of the Internal Revenue Code of 1954. Provides for the exclusion of employer payment of employee taxes from employees' gross income as determined under such provisions of such Code. Title III: Studies Related to Long-Term Care - Authorizes the Secretary of Health, Education, and Welfare, the Secretary of Housing and Urban Development, and the Secretary of Labor to conduct a joint study on the subject of health related and other long-term institutional care. Authorizes additional studies by the Secretary of Health, Education, and Welfare and the Secretary of Housing and Urban Development concerning the provision of social services to enable elderly persons to live in their own homes. Requires the Secretaries to submit reports to the President and the Congress not later than two years after the date of enactment of this Act.
Bill· HRH.R. 13431 (93rd)referred
United States · United States Congress · 12 March 1974
National Diabetes Research and Education Act - Directs the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases to establish a National Task Force on Diabetes to formulate a long-range plan to combat diabetes with specific recommendations concerning the utilization and organization of national resources for that purpose after conducting a comprehensive study and survey investigating the magnitude of diabetes mellitus, its epidemiology, its economic and social consequences, and an evaluation of available scientific information and the national resources capable of dealing with the problem. Requires that such National Task Force shall provide for: (1) a coordinated research program encompassing the programs of the National Institute of Arthritis, Metabolism, and Digestive Diseases, related programs of the other research institutes, and other Federal and non-Federal programs; (2) the utilization of existing research facilities and personnel of the National Institutes of Health for accelerated exploration of opportunities of special promise in scientific areas related to the known complications of diabetes mellitus; (3) a system for the collection, analysis, and dissemination of all data useful in the prevention, diagnosis, and treatment of diabetes mellitus, including the establishment of a diabetes research data bank to collect, catalog, store, and disseminate insofar as is practicable the results of diabetes research undertaken for the use of any person involved in diabetes research; (4) support of manpower programs of training in fundamental sciences and clinical disciplines to provide an expanded and continuing manpower base from which to select investigators, physicians, and allied health professions personnel, for participation in clinical and basic research and treatment programs relating to diabetes including, where appropriate, the use of training stipends, fellowships, and career awards; (5) budget estimates and projections reflecting the funds required to fully implement the recommended plan; (6) methods of education for persons having diabetes; and (7) an emphasis on the counseling to persons, especially children, having diabetes and to their families with regard to adjustments and medical regimen required of such persons. Authorizes the appropriation of $1,000,000 for the purpose of establishing the National Task Force under this Act. Directs the Director to establish programs for cooperation with State and other health agencies in the early diagnosis and treatment of diabetes as well as programs of public, professional, and patient education. Authorizes the appropriation of $5,000,000 each year for fiscal years 1973, 1974, and 1975, and the appropriation of such sums as may be necessary thereafter, for the diabetes control program. Authorizes the Director to make grants to, or contract with States, political subdivisions, universities, hospitals, and other public or nonprofit private institutions, agencies, or organizations, which are community oriented, for projects and programs for the conduct of research, demonstration, training in and utilization of allied health personnel, or public and professional education for the early diagnosis and treatment of diabetes mellitus, or counseling and assistance in self-management. Provides that such grants shall cover a maximum of 75 percent of the costs of such projects and programs. Authorizes the appropriation of $25,000,000 for fiscal year 1973, and a like sum for each of the next two succeeding fiscal years, and such sums as may be necessary thereafter, for the purpose of such grants under this Act. Authorizes the Director to establish not more than six model diabetes research, treatment, and education clinics throughout the United States within the framework of existing programs. Provides that the purpose of such clinics shall be to test the feasibility of such clinics with regard to: (1) the development of improved methods of detecting diabetes; (2) the development of improved methods of intervention against high-risk factors which cause diabetes; and (3) the development of highly skilled manpower in diabetes diagnosis, prevention, and treatment. Authorizes the appropriation for the establishment of the clinics authorized under this Act $6,000,000 for the fiscal year ending June 30, 1973, and a like sum for each of the next two succeeding fiscal years and such sums as are necessary thereafter.
Bill· HRH.R. 13405 (93rd)referred
United States · United States Congress · 12 March 1974
National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy. Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission. Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder. Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.
Bill· HRH.R. 13432 (93rd)referred
United States · United States Congress · 12 March 1974
National Diabetes Research and Education Act - Directs the Secretary of Health, Education and Welfare to establish within sixty days after the date of enactment of this Act a National Task Force on Diabetes to formulate a long-range plan to combat diabetes mellitus. Directs the task force to develop a program to expand, intensify, and coordinate the activities of the National Institute of Arthritis, Metabolism, and Digestive Diseases respecting diabetes mellitus and related endocrine and metabolic diseases. States that such program shall provide for: (1) investigation in the epidemiology, etiology, prevention, and control of diabetes mellitus; (2) research into the development, trial, and evaluation of techniques and drugs used in, and approaches to, the diagnosis, treatment, and prevention of diabetes mellitus; and (3) the education and training of scientists, clinicians, educators, and allied health personnel, in the fields and specialties requisite to the conduct of programs respecting diabetes mellitus. Authorizes appropriations to carry out such program of $500,000 for the fiscal year ending June 30, 1974. Provides that, not later than sixty days after the Task Force submits its report and recommendations to the Congress, the Director of the National Institute for Arthritis, Metabolism, and Digestive Diseases shall, through the National Institutes of Health and the Department of Health, Education, and Welfare, submit to the President for transmittal to the Congress a report outlining the action required and the staff requirements to carry out the recommended program with a request for such additional appropriations. Requires the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases to establish programs as necessary appropriately emphasizing the prevention, control, diagnosis, and treatment of diabetes in children. Authorizes appropriations to carry out such a program for children of $2,500,000 for the fiscal year ending June 30, 1975, $5,000,000 for the fiscal year ending June 30, 1976, $10,000,000 for the fiscal year ending June 30, 1977. Directs the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases to provide for the development of research and training centers for the study of diabetes and related endocrine and metabolic disorders. Authorizes appropriations to provide such centers of $10,000,000 for fiscal year ending June 30, 1975, $15,000,000 for fiscal year ending June 30, 1976, and $20,000,000 for fiscal year ending June 30, 1977. Establishes the position of Associate Director for Diabetes within the Institute to be responsible for diabetes programs. Establishes an Inter-Institute Diabetes Mellitus Coordinating Committee to coordinate the research activities relating to diabetes mellitus. Establishes an Interagency Technical Committee on Diabetes Mellitus to be responsible for coordinating all Federal health programs relating to diabetes melletis.
Bill· HRH.R. 13378 (93rd)referred
United States · United States Congress · 12 March 1974
Comprehensive Medicare Reform Act - Title I: Revision of Medicare Entitlement and Benefits - Repeals Parts A (Hospital Insurance Benefits for the Aged) and Part B (Supplementary Medical Insurance Benefits for the Aged) of Title XVIII (Health Insurance for the Aged) of the Social Security Act and enacts in lieu of those parts the provisions of this title. Lowers the age for participation in the Insurance Plan (Medicare) provided under title XVIII for specified classes of individuals. Makes the following classes of persons entitled to benefits under such title: (1) specified individuals receiving disability payments, and (2) specified individuals with chronic renal disease. Specifies covered institutional services including, but not limited to: (1) inpatient and outpatient hospital services; (2) skilled-nursing home services; (3) intermediate-care facility services; and (4) home health services. Lists the following covered services: (1) physicians' services (including psychiatric services if provided by a health maintenance organization); (2) dental services; (3) drugs; (4) devices, appliances, and equipment (if the item is prescribed or certified as medically necessary by an appropriate professional practitioner and if it appears on a current list of items established by the Secretary of Health, Education, and Welfare); and (5) other professional and supporting services, including, but not limited to (a) the professional services of optometrists, (b) the professional services of podiatrists, and (c) the diagnostic services of independent pathology laboratories, and diagnostic and therapeutic radiology furnished by independent radiology services. Excludes services and items from coverage under this title, including but not limited to: (1) services furnished outside the United States, with an exception for specified hospital services and related professional services; (2) the furnishing of personal comfort items; (3) purely custodial care; (4) cosmetic services; and (5) services for which the individual has no legal obligation to pay. Provides for the reduction in the amount otherwise payable under this title from the Medicare Trust Fund with respect to a covered service based upon the applicable amount of coinsurance held by individuals entitled to benefits under this title. Provides for exceptions to the above reductions in the cases of low-income persons, members of low-income families, and specified cases of payment of catastrophic expense benefits. Sets forth a schedule for the degree of payment reduction by type of service to be effectuated by the individual's coinsurance amount. Sets forth an initial table for the determination of income classes for individuals and members of families under this title. Provides for the periodic revision of income classes established under this title. Provides for the periodic revision of the catastrophic expense benefit expenditure limitations set under this title. Provides that payment of covered services provided to an individual by an institutional provider shall be made only to that provider. States that the amount payable to that provider with respect to such services shall be the reasonable cost of the services to the provider governed by the provisions of this title less the amount of any payment of coinsurance. Provides that payment for covered services that were furnished to an individual by a noninstitutional provider shall be made only to: (1) the participating provider who furnished the services, or (2) in the case of emergency services furnished by a nonparticipating provider, either (a) to the individual on the basis of an itemized bill, or (b) to the provider on the basis of an assignment from the individual. Authorizes the Secretary to enter into contracts with carriers under which the carrier, on behalf of the Secretary (and subject to review by the Secretary), will perform administrative functions, including the administration of benefits under this Act. Provides that no contract shall be entered into with a carrier unless the Secretary finds that the carrier will perform its obligations under the contract efficiently and effectively and will meet such requirements as to financial responsibility, legal authority, and other matters as he finds pertinent. Creates the Medicare Trust Fund which shall consist of the assets and liabilities of the Federal Hospital Insurance Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes to be appropriated to the Trust Fund a Government contribution in an amount, as estimated by the Board of Trustees, which when added to other income and assets of the Trust Fund will make the Trust Fund sufficient for the prompt payment of all amounts required or authorized by law to be paid therefrom. Authorizes the Board to borrow funds from the Treasury, pending the approval by Congress of the Government contribution, if the Board determines that the amount of the Trust Fund is insufficient to make all required payments in the next three calendar months. Creates an Institutional Provider Reimbursement Review Board to hear disputes presented by any institutional provider of services which has filed a required cost report (for purposes of reimbursement) within the time specified in regulations if: (1) the provider is dissatisfied with a final determination of the organization serving as its fiscal intermediary as to the amount of total program reimbursement due the provider for the items and services furnished to individuals for which payment may be made under this title for the period covered by the report; (2) the amount in controversy is $10,000 or more; and (3) the provider files a request for a hearing within 180 days after notice of the intermediary's final determination. Title II: Financing of Program - Authorizes the appropriation to the Medicare Trust Fund, established under this Act, from time to time such sums as the Secretary deems necessary for any fiscal year, on account of: (1) payments made or to be made during such fiscal year from such Trust Fund under title XVIII of such Act; (2) the additional administrative expenses resulting or expected to result therefrom; and (3) any loss in interest to such Trust Fund resulting from the payment of such amounts, in order to place such Trust Fund in the same position at the end of such fiscal year in which the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund would have been if title I of this Act had not been enacted. Title III: Studies Related to Long-Term Care - Authorizes the Secretary of Health, Education, and Welfare, the Secretary of Housing and Urban Development, and the Secretary of Labor to conduct a joint study on the subject of health related and other long-term institutional care. Authorizes additional studies by the Secretary of Health, Education, and Welfare and the Secretary of Housing and Urban Development concerning the provision of social services to enable elderly persons to live in their own homes. Requires the Secretaries to submit reports to the President and the Congress not later than two years after the date of enactment of this Act.
Bill· HRH.R. 13385 (93rd)referred
United States · United States Congress · 12 March 1974
Comprehensive Medicare Reform Act - Title I: Revision of Medicare Entitlement and Benefits - Repeals Parts A (Hospital Insurance Benefits for the Aged) and Part B (Supplementary Medical Insurance Benefits for the Aged) of Title XVIII (Health Insurance for the Aged) of the Social Security Act and enacts in lieu of those parts the provisions of this title. Lowers the age for participation in the Insurance Plan (Medicare) provided under title XVIII for specified classes of individuals. Makes the following classes of persons entitled to benefits under such title: (1) specified individuals receiving disability payments, and (2) specified individuals with chronic renal disease. Specifies covered institutional services including, but not limited to: (1) inpatient and outpatient hospital services; (2) skilled-nursing home services; (3) intermediate-care facility services; and (4) home health services. Lists the following covered services: (1) physicians' services (including psychiatric services if provided by a health maintenance organization); (2) dental services; (3) drugs; (4) devices, appliances, and equipment (if the item is prescribed or certified as medically necessary by an appropriate professional practitioner and if it appears on a current list of items established by the Secretary of Health, Education, and Welfare); and (5) other professional and supporting services, including, but not limited to (a) the professional services of optometrists, (b) the professional services of podiatrists, and (c) the diagnostic services of independent pathology laboratories, and diagnostic and therapeutic radiology furnished by independent radiology services. Excludes services and items from coverage under this title, including but not limited to: (1) services furnished outside the United States, with an exception for specified hospital services and related professional services; (2) the furnishing of personal comfort items; (3) purely custodial care; (4) cosmetic services; and (5) services for which the individual has no legal obligation to pay. Provides for the reduction in the amounts otherwise payable under this title from the Medicare Trust Fund with respect to a covered service based upon the applicable amount of coinsurance held by individuals entitled to benefits under this title. Provides for exceptions to the above reductions in the cases of low-income persons, members of low-income families, and specified cases of payment of catastrophic expense benefits. Sets forth a schedule for the degree of payment reduction by type of service to be effectuated by the individual's coinsurance amount. Sets forth an initial table for the determination of income classes for individuals and members of families under this title. Provides for the periodic revision of income classes established under this title. Provides for the periodic revision of the catastrophic expense benefit expenditure limitations sets under this title. Provides that payment of covered services provided to an individual by an institutional provider shall be made only to that provider. States that the amount payable to that provider with respect to such services shall be the reasonable cost of the services to the provider governed by the provisions of this title less the amount of any payment of coinsurance. Provides that payment for covered services that were furnished to an individual by a noninstitutional provider shall be made only to: (1) the participating provider who furnished the services, or (2) in the case of emergency services furnished by a nonparticipating provider, either (a) to the individual on the basis of an itemized bill, or (b) to the provider on the basis of an assignment from the individual. Authorizes the Secretary to enter into contracts with carriers under which the carrier, on behalf of the Secretary (and subject to review by the Secretary), will perform administrative functions, including the administration of benefits under this Act. Provides that no contract shall be entered into with a carrier unless the Secretary finds that the carrier will perform its obligations under the contract efficiently and effectively and will meet such requirements as to financial responsibility, legal authority, and other matters as he finds pertinent. Creates the Medicare Trust Fund which shall consist of the assets and liabilities of the Federal Hospital Insurance Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes to be appropriated to the Trust Fund a Government contribution in an amount, as estimated by the Board of Trustees, which when added to other income and assets of the Trust Fund will make the Trust Fund sufficient for the prompt payment of all amounts required or authorized by law to be paid therefrom. Authorizes the Board to borrow funds from the Treasury, pending the approval by Congress of the Government contribution, if the Board determines that the amount of the Trust Fund is insufficient to make all required payments in the next three calendar months. Creates an Institutional Provider Reimbursement Review Board to hear disputes presented by any institutional provider of services which has filed a required cost report (for purposes of reimbursement) within the time specified in regulations if: (1) the provider is dissatisfied with a final determination of the organization serving as its fiscal intermediary as to the amount of total program reimbursement due the provider for the items and services furnished to individuals for which payment may be made under this title for the period covered by the report; (2) the amount in controversy is $10,000 or more; and (3) the provider files a request for a hearing within 180 days after notice of the intermediary's final determination. Title II: Health Insurance Taxes - Defines the term "employment" for purposes of the health insurance tax provisions of the Internal Revenue Code of 1954. Provides for the exclusion of employer payment of employee taxes from employees' gross income as determined under such provisions of such Code. Title III: Studies Related to Long-Term Care - Authorizes the Secretary of Health, Education, and Welfare, the Secretary of Housing and Urban Development, and the Secretary of Labor to conduct a joint study on the subject of health related and other long-term institutional care. Authorizes additional studies by the Secretary of Health, Education, and Welfare and the Secretary of Housing and Urban Development concerning the provision of social services to enable elderly persons to live in their own homes. Requires the Secretaries to submit reports to the President and the Congress not later than two years after the date of enactment of this Act.
Bill· HRH.R. 13373 (93rd)referred
United States · United States Congress · 11 March 1974
Establishes the National Institute of Aging in the Public Health Service to conduct and support research on the aging process, on preventive measures with respect to health problems of the aged, and on treatment and cures for such problems. Establishes the Natonal Advisory Council on Aging to advise on programs relating to the aged and monitor the Institute. Provides traineeships and fellowships for the study of health problems of the aged.
Bill· HRH.R. 13358 (93rd)referred
United States · United States Congress · 11 March 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 13368 (93rd)referred
United States · United States Congress · 11 March 1974
Provides for an exclusive remedy against the United States in suits based upon medical malpractice on the part of active duty military personnel. States that the Attorney General shall defend or settle in a manner provided by law any civil action or proceeding brought in any court against any person referred to in this Act (or his estate) for any such damage or injury. Provides for the removal to a United States District Court of any proceeding brought in a State court upon a certification by the Attorney General that the defendant was acting in the scope of his employment in or for the Department of Defense or any other Federal department, agency, or institution at the time of the incident out of which the suit arose. Authorizes the Secretary of Defense to hold harmless or provide liability insurance for any active duty military medical personnel for personal injury or death negligently caused by such personnel acting within the scope of his employment.
Bill· SS. 3139 (93rd)referred
United States · United States Congress · 8 March 1974
Health Planning Act - Provides that the Governors of each State, subject to the approval of the Secretary of Health, Education, and Welfare, shall establish health areas with respect to which health planning agencies shall be designated. Sets forth criteria that each health area shall meet. Declares that, within 120 days following the date of the enactment of this Act, the Secretary shall publish in the Federal Register proposed boundaries for health that if the States fail to establish health areas within 60 days following the date of enactment, the Secretary shall establish such health areas soliciting the views of the Governor of each State. Defines the terms "health planning agency" and "Public Benefit Corporation". States that a health planning agency shall have a staff which provides the agency with expertise in at least the following: (1) the gathering and analysis of data, (2) planning and (3) health manpower, facilities, and services. Sets forth provisions for each planning agency's governing body. Enumerates the functions of health planning agencies including the functions a health planning agency shall perform in implementing its long-range and short-term plans. Provides that in conducting reviews of proposed health system change, each health planning agency shall follow procedures and apply criteria developed and published by the agency in accordance with regulations of the Secretary. Lists the minimum procedures to be included by each health planning agency and State Health Commission in reviewing proposed health system changes. Enumerates the elements to be considered for agency and Commission review. Enables the Secretary to provide all necessary technical and nonfinancial assistance (including the preparation of prototype plans of organization and operation) to nonprofit private entities which: (1) express a desire to organize a public benefit corporation to be designated as a health planning agency, and (2) the Secretary determines have a potential to meet the requirements of a health planning agency. Permits the Secretary to make grants to nonprofit private entities to assist them in meeting the costs of complying with the organization and operation requirements; authorizes to be appropriated for this purpose $15,000,000 for fiscal year 1975 and $30,000,000 for each of fiscal years 1976 and 1977. Requires the Secretary to designate a health planning agency, upon the recommendation of the State Health Commission, for each health area established. Prohibits the Secretary from entering into an agreement for the initial designation of an entity as the health planning agency for a health area unless the Governor of each State in which such area is located approves such designation of such entity. Directs the Secretary to provide health planning agencies and State Health Commissions (1) model health plan and planning processes, (2) technical materials and standards for use in health planning, and (3) such other technical assistance as they may require to perform their functions. Enumerates the elements to be included in these materials provided by the Secretary. Requires that the Secretary make in each fiscal year a grant to each health planning agency with which there is in effect at the beginning of the fiscal year a designation agreement. Provides that this grant shall be made on such conditions as the Secretary determines are appropriate and shall be used by a health planning agency for compensation of agency personnel, collection of data, planning, and other activities of the agency. Prohibits a health planning agency from using this grant to make payments under a grant or contract with another entity for the development of health services. Provides a formula for determing the amount of any grant to any health planning agency, the minimum amount being $150,000. Authorizes to be appropriated for such grants, $60,000,000 for fiscal year 1975 and $100,000,000 for fiscal year 1976. Declares that the Secretary shall make in each fiscal year a grant to each health planning agency to enable the agency to establish an Area Health Planning Development Fund from which it may make grants and enter into contracts. Authorizes to be appropriated for such grants $100,000,000 for fiscal year 1975 and $125,000,000 for fiscal year 1976. Directs the Secretary to review and approve the annual budget of each health planning agency with which there is in effect a designation agreement. Directs the Secretary to enter into an agreement with the qualified agency designated by the Governor of each State as the State Health Commission. Lists the criteria of organization and operation of a "qualified agency". Enumerates the criteria for a State administrative program for the performance within the State by its State Health Commission of the regulatory functions prescribed by this Act. Lists the regulatory functions of each State Health Commission. Authorizes to be appropriated $2,000,000 for fiscal year 1974 and $3,000,000 for each of fiscal years 1975 and 1976 for grants the Secretary may make to States to assist in meeting the costs of developing State Health Commissions. Authorizes to be appropriated $1,000,000 for fiscal year 1974, $5,000,000 for fiscal year 1975, and $10,000,000 for fiscal year 1976 for grants the Secretary may make to States for the operation of State Health Commissions. Permits the Secretary to make grants and loans to public and nonprofit private entities to assist in meeting the costs of construction projects for health facilities and to guarantee to non-Federal lenders payment of principal and interest on loans made by such lenders to non-profit private entities for such projects. Provides a maximum loan of 90 percent of the cost of such project. Directs the Secretary, with the consent of the Secretary of Housing and Urban Development, to obtain from the Department of Housing and Urban Development such assistance with respect to the administration of these grants and loans as will promote efficiency and economy. Makes general provisions relating to loans and loan guarantees. Establishes in the Treasury a loan guarantee and loan fund available to the Secretary without fiscal year limitation. Authorizes to be appropriated to provide capital required for the fund $100,000,000 in the aggregate for fiscal years 1974-1976. Authorizes the Secretary to issue to the Secretary of the Treasury notes or other obligations to enable the Secretary to discharge his responsibilities.
Bill· HRH.R. 13338 (93rd)referred
United States · United States Congress · 7 March 1974
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1974, and ending June 30, 1976, such sums as may be necessary to carry out the purpose of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hempophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of actions conducted under this Act.
Bill· HRH.R. 13322 (93rd)referred
United States · United States Congress · 7 March 1974
Community Mental Health Centers Amendments Act - Enumerates the comprehensive mental health services which shall be provided through a community mental health center. Directs that the provision of comprehensive mental health services through a center shall be coordinated with the provision of services by other health and social service agencies in the center's area. Sets forth the elements to be included in applications for Federal grants to community mental health centers, including assurance that the center will provide an adequate reporting system, provide services responsive to the needs of the local population, develop a plan for adequate financing when assistance under this Act is reduced or terminated, and provide a reasonable volume of services for persons unable to pay for them. Sets forth additional criteria for approval of the application by the Secretary of Health, Education, and Welfare. Authorizes the Secretary to make grants to public and nonprofit private community mental health centers to assist them in meeting their costs of operation during the first five years after their establishment. Authorizes the Secretary to make annual grants to any community mental health center for the costs of providing the consultation and education services described in this Act if the center received a staffing grant under this Act or other grants as provided by this Act. Authorizes the Secretary to make grants to public and nonprofit private entities to carry out projects to develop community mental health center programs for areas designated by the Secretary as urban or rural poverty areas. Lists authorized appropriations for grants provided under this Act. Authorizes the Secretary to make financial distress grants for the operation of community mental health centers. Sets forth criteria for such grants. Authorizes the appropriation of $10,000,000 for the fiscal year ending June 30, 1975 and $10,000,000 for the fiscal year ending June 30, 1976 for such grants. Directs the Secretary to pay the Federal share of projects for: (1) the acquisition and/or remodeling of facilities for community mental health centers; (2) the leasing of facilities for such centers; (3) the construction of new facilities or expansion of existing facilities for community mental health centers; and (4) the initial equipment of a facility receiving financial assistance through these methods. Sets forth the method of computation of the Federal share. Directs the Secretary, for each fiscal year, to make allotments from the sums appropriated under this Act to the States on the basis of: (1) population; (2) the extent of the need for community mental health centers; and (3) the financial need of the respective States. Provides that such allotment may not be made to a State unless the State has submitted an approved State plan to the Secretary for community mental health centers. Sets forth the necessary elements to be contained in State plans. Provides for judicial review of any disapproval by the Secretary of projects under State plans. Provides for the recovery by the United States of any community mental health center facility remodeled, constructed, or acquired with funds provided under this Act, at any time within twenty years after completion, if such facility: (1) is transferred to any person or entity not qualified to file an application under this Act; or (2) ceases to be used by a community mental health center.
Bill· HRH.R. 13315 (93rd)referred
United States · United States Congress · 7 March 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HJRESH.J.Res. 934 (93rd)referred
United States · United States Congress · 7 March 1974
Authorizes the Secretary of Health, Education, and Welfare to take all necessary steps to organize and hold an international conference on heart disease, cancer, and stroke in Washington, D.C. in the fiscal year ending June 30, 1975, and to report to the Congress on the proceedings and outcome of such a conference. Authorizes appropriations of up to $5,000,000 for the purpose of defraying expenses incident to organizing and holding the conference.
Bill· HRH.R. 13273 (93rd)referred
United States · United States Congress · 6 March 1974
Establishes the National Institute of Aging in the Public Health Service to conduct and support research on the aging process, on preventive measures with respect to health problems of the aged, and on treatment and cures for such problems. Establishes the Natonal Advisory Council on Aging to advise on programs relating to the aged and monitor the Institute. Provides traineeships and fellowships for the study of health problems of the aged.
Bill· HRH.R. 13284 (93rd)referred
United States · United States Congress · 6 March 1974
National Cancer Act Amendments - Increases the authorization of appropriations under the Public Health Service Act for the basic cancer research and training program and the prevention and control program. Extends such Act for three years with appropriations of $750,000,000 $830,000,000 and $985,000,000 for fiscal years 1975-1977, respectively. Authorizes the awarding of grants for the improvement of basic research laboratory facilities, including those related to biohazard control, as deemed necessary, for the national cancer program.
Bill· HRH.R. 13272 (93rd)referred
United States · United States Congress · 6 March 1974
Establishes the National Institute of Aging in the Public Health Service to conduct and support research on the aging process, on preventive measures with respect to health problems of the aged, and on treatment and cures for such problems. Establishes the Natonal Advisory Council on Aging to advise on programs relating to the aged and monitor the Institute. Provides traineeships and fellowships for the study of health problems of the aged.
Bill· HRH.R. 13226 (93rd)referred
United States · United States Congress · 5 March 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 13240 (93rd)referred
United States · United States Congress · 5 March 1974
Indian Health Care Improvement Act - Declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Directs the Secretary of Health, Education, and Welfare to make scholarship grants to individuals: (1) who are enrolled in medical schools; schools of optometry, osteophathy, dentistry, pharmacy, podiatry, public health, or nursing, or schools licensed by a State to train persons in the allied health professions, and (2) who agree to provide their professional services to Indians after completion of their professional training. Establishes a priority according to which the Secretary shall award scholarship grants under this Act. States that any scholarship grant awarded to any individual under this Act shall be awarded under the condition that such individual will, after the completion of his professional training, provide his professional services to Indians for a reasonable period of time as prescribed by the Secretary. Sets forth a formula by which the United States shall be entitled to recover scholarship grants from individuals who fail to comply with such condition for the full period. Authorizes to be appropriated for this program: $8,000,000 for fiscal year 1975, $16,000,000 for fiscal year 1976, $22,000,000 for fiscal year 1977, $30,000,000 for fiscal year 1978, and $34,000,000 for fiscal year 1979, and for each succeeding fiscal year, such sums as may be necessary to continue to make such grants to individuals who (prior to July 1, 1979) have received such grants and who are eligible for such grants under this Act during such succeeding fiscal year. Directs the Secretary to make scholarship grants for a period not to exceed two academic years to Indians who: (1) have successfully completed their high school education; and (2) have demonstrated a capability to successfully complete a premedical, predental, or preosteopathy course of study. Authorizes to be appropriated for the above program: $1,000,000 for fiscal year 1975; $2,000,000 for fiscal year 1976; and $3,000,000 for each of the next three fiscal years. Permits the Secretary to provide continuing education allowances to Indian Health Service physicians. Authorizes to be appropriated for such programs: $350,000 each year for fiscal years 1975 and 1976; $375,000 for fiscal year 1977, $390,000 for fiscal year 1978, and $410,000 for fiscal year 1979. Title II: Health Services - Authorizes the Secretary to expend over a five-fiscal-year period $123,500,000, in addition to the annual appropriations required to continue the health service program to the Indian people, and to employ additional personnel for the purpose of eliminating backlogs in Indian health care services and to supply known, unmet medical, surgical, dental and other Indian health needs. Title III: Health Facilities - Authorizes the Secretary to expend $400,000,000 over a five-fiscal-year period for the purpose of eliminating inadequate, outdated, and otherwise unsatisfactory service hospitals, health centers, health stations, and other service facilities. Enables the Secretary to expend $470,000,000 within a five-fiscal-year period to supply unmet needs for safe water and sanitary waste disposal facilities in existing and new Indian homes and communities. Directs the Secretary to develop a plan, together with the Secretary of Housing and Urban Development, to assure that the five-year schedule provided for in this Act will be met. Title IV: Access to Health Services - States that the service facilities used to provide health care and services to Indians are hereby deemed to be accredited facilities for the purposes of title XVIII (Medicare) and title XIX (Medicaid) of the Social Security Act. Title V: Access to Health Services for Urban Indians - Defines "Urban Indians", "Urban Indian organization" and "urban center" as used in this Act. Provides that the Secretary shall enter into contracts with urban Indian organizations to provide Federal assistance to such organizations for the purpose of establishing and administering outreach programs to make urban Indians in the urban centers in which such organizations are situated knowledgeable of the health service resources available within such centers and the means of gaining access to those resources. Directs the Secretary to prescribe the criteria for selecting urban Indian organizations with which to contract pursuant to this Act. Authorizes to be appropriated for this program: $3,000,000 for fiscal year 1975; $4,000,000 for fiscal year 1976; and $5,000,000 for fiscal year 1977. Provides that, within six months after the end of fiscal year 1976, the Secretary shall review the above program and shall submit to the Congress his assessment of it and recommendations for any further legislation. Title VI: Miscellaneous - Requires the Secretary to report annually to the President and the Congress on progress made in effecting the purposes of this Act. States that within three months after the end of fiscal year 1978, the Secretary shall review the programs established or assisted under this Act and shall submit to the Congress his assessment and recommendations of additional programs or additional assistance necessary to, at a minimum provide health services to Indians, and insure a health status for Indians, which is at a parity with the health services available to, and the health status of, the general population. Provides that the funds appropriated pursuant to this Act shall remain available until expended.
Bill· SS. 3106 (93rd)referred
United States · United States Congress · 4 March 1974
Child and Maternal Health Care Extension Act - Authorizes to be appropriated, under title V (Grants to States for Maternal and Child Welfare) of the Social Security Act, for the purpose of enabling the States to diagnose, screen, and provide immediate limited treatment of child health and maternal health conditions, for each fiscal year a sum sufficient to carry out the purposes of this Act. Provides that such funds shall be used for making payments to States which have submitted, and had approved by the Secretary of Health, Education, and Welfare, State plans for establishment and operation of mobile health care facilities. Enumerates criteria which a State plan must meet prior to approval, including: (1) to provide that a mobile health care team shall be in existence and operate in each of the eligible counties within the State; (2) to provide for the establishment or designation of a single State agency to supervise the administration of the plan; and (3) to provide that the State agency will have authority to carry out the plan in conformity with this Act. Requires the periodic review of the eligibility of all counties in each State. Provides that if the State agency supervising the administration of the State plan finds that: (1) the plan has been so changed that it no longer complies with the provisions of this Act; (2) in the administration of the plan there is a failure to comply substantially with this Act; or (3) an eligible county within the State is not included within the State plan; further payments will not be made to the State until the Secretary is satisfied that there will no longer be any such failure to comply. Defines the terms used in this Act. Provides, under the Social Security Act, for: (1) the training of pediatric nurse practitioners; (2) the payment for services rendered by such pediatric nurse practitioner; (3) expanded services for crippled children; and (4) maternal and child health services for low-income families.
Bill· SS. 3088 (93rd)referred
United States · United States Congress · 28 February 1974
Extends the coverage of the National Labor Relations Act to employees of nonprofit hospitals. Defines the term "health care institution" for purposes of this Act. Sets forth collective bargaining notice, mediation and agreement procedures to govern employees of a health care institution.
Bill· HRH.R. 13174 (93rd)referred
United States · United States Congress · 28 February 1974
Revises the Public Health Service Act to extend to commissioned officers of the Public Health Service the benefits and immunities of the Soldiers' and Sailors' Civil Relief Act.
Bill· HRH.R. 13149 (93rd)referred
United States · United States Congress · 28 February 1974
National Cancer Amendments - Revises the Public Health Service Act by authorizing the Director of the National Cancer Institute to provide and contract for a program to disseminate and interpret for practitioners and other health professionals, scientists, and the general public new scientific and other information respecting the cause, prevention, diagnosis, and treatment of cancer. Increases the authorized appropriations for the carrying out of the National Cancer Program. Makes various technical and conforming changes in the Public Health Service Act. Directs the Secretary of Health, Education, and Welfare to require appropriate scientific peer review of (1) applications made after the effective date of such regulations for grants under this Act for biomedical and behavioral research; and (2) biomedical and behavioral research and development contract projects to be administered after such effective date through an institute established under this Act, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, or the National Institute on Drug Abuse.
Bill· HRH.R. 13175 (93rd)referred
United States · United States Congress · 28 February 1974
Biomedical Research Act - Revises the Public Health Service Act by establishing the President's Biomedical Research Panel. Provides that the Panel shall have the duty to monitor the development and execution of the biomedical research programs of the National Institutes of Health and shall report any delays or blockages in rapid execution of such programs to the President, the Senate Committee on Labor and Public Welfare, the House Committee on Interstate and Foreign Commerce, the Senate Committee on Appropriations, and the House Committee on Appropriations. Sets forth the composition of the Panel.
Bill· SS. 3074 (93rd)referred
United States · United States Congress · 27 February 1974
Comprehensive School Health Education Act - Declares that it is the purpose of this Act to encourage the provision of comprehensive programs in elementary and secondary schools with respect to health education and health problems by establishing a system of grants for teacher training, pilot and demonstration projects, and the development of comprehensive health education programs. Empowers the Commissioner of Education to make grants to State educational agencies and institutions of higher education for teacher training with respect to the provision of comprehensive health education programs in schools. Authorizes to be appropriated $10,000,000 for fiscal year 1975; $12,500,000 for fiscal year 1976; and $15,000,000 for fiscal year 1977, to carry out such grants. Authorizes the Commissioner to make grants to State and local educational agencies, institutions of higher education, and other public or private nonprofit education or research organizations to support pilot demonstration projects in elementary and secondary schools with respect to health problems. Authorizes appropriations for such purposes. States that the Commissioner may make grants to State educational agencies for the development of comprehensive programs in elementary and secondary schools with respect to health education and health problems. Provides for the apportionment of funds appropriated for such purposes. Authorizes to be appropriated $50,000,000 for fiscal year 1977. Sets forth the requirements for receiving grants under this Act, including the application procedures. Directs the Commissioner to, when requested, render technical assistance to local educational agencies, public and private nonprofit organizations, and institutions of higher education in the development and implementation of education programs with respect to health and health problems.
Bill· HRH.R. 13114 (93rd)referred
United States · United States Congress · 27 February 1974
Authorizes the Secretary of Health, Education, and Welfare to make grants to States and localities to assist them in meeting increased health care costs resulting from health problems brought on by the energy crisis.