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Bill· HRH.R. 5385 (95th)referred
United States · United States Congress · 22 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to remove the limit of 100 visits which applies to post-hospital home health services. Drops the requirement that the home health care provided be of the same kind as provided in prior hospitalization. Eliminates the requirement that a physician review the home health care plan and that the patient be under the care of a physician. Requires that such functions be done by the appropriate health professional under regulation of the Secretary of Health, Education, and Welfare. Extends Medicare coverage to include periodic chore services, hospital outreach services, nutritional counseling, health and supportive services furnished in elderly day care centers, and expansion of professional standard review organization review functions. Requires the Secretary to establish a review plan which is adapted to meet the non-institutional nature of home health services. Extends Medicare coverage only to those outpatient rehabilitation services which are certified by a physician as being required.
Bill· HRH.R. 5459 (95th)referred
United States · United States Congress · 22 March 1977
Geriatric Health Personnel Training Act - Amends the Public Health Service Act (Health Research and Teaching Facilities and Training of Professional Health Personnel) to authorize the Secretary of Health, Education, and Welfare to grant $500,000 for each of six schools of medicine to assist in the establishment and operation of departments of geriatrics. Authorizes the Secretary to make grants to assist schools of medicine in the establishment and operation of continuing education programs in geriatrics for physicians. Authorizes the appropriation of $2,500,000 for fiscal year 1978, and $5,000,000 for each of the next three fiscal years to enable the Secretary to make grants to schools of medicine to assist in developing and conducting training programs designed to prepare armed forces veterans, with appropriate experience as paramedical personnel, to serve as medical assistants in long-term health care facilities. Authorizes the Secretary to make grants and enter into contracts with public or nonprofit colleges and universities for the development of graduate programs for nurses in geriatrics and gerontology. Amends the National Labor Relations Act to make it an unfair labor practice for an employer to discharge or otherwise discriminate against an employee who has testified before any congressional committee or any governmental agency or department.
Bill· HRH.R. 5439 (95th)referred
United States · United States Congress · 22 March 1977
Medicare Long-Term Care Act - Repeals existing provisions for post-hospital home health services under Title XVIII (Medicare) of the Social Security Act. Establishes, within the hospital insurance program of such Title, a program of long-term care benefits to be provided for aged and disabled individuals including all recipients of supplemental security income benefits and to be financed without additional cost to such individuals, through the Federal Hospital Insurance Trust Fund, from funds appropriated by the Federal Government. States that the benefits provided to an individual by such program shall consist of: (1) home health services; (2) homemaker services; (3) nutrition services; (4) long-term institutional care services; (5) day care and foster home services; and (6) community mental health center outpatient services. Requires that, to the maximum extent possible, such benefits shall be provided by or through community long-term care centers, as defined in this Act; and, in any case where a State has an agency which performs the functions of planning and developing such centers and overseeing their operation the Secretary of Health, Education, and Welfare shall make grants to the State or State agency to reimburse it for expenses incurred in the performance of such functions. Directs the Secretary to pay 75 percent of the amount expended by a State for the operation of a State long-term care agency. Enumerates the functions of such an agency. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) perform such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Defines terms used in this Act, including the services to be provided by community long-term care centers. Directs the Secretary to develop and promulgate to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act. Requires the Secretary to prescribe regulations setting forth the standards of care for homemaker and nutritional services. Establishes the Federal Advisory Council on Long-Term Care. Sets forth the qualifications of the five members of such Council. States that it shall be the duty and function of the Council to provide advice and recommendations for the consideration of the Secretary on regulations under this Act and on matters of general policy with respect to this Act. States that no regulations of the Secretary under this Act shall become effective unless they have first been approved by the Council. States that the determination of whether an individual is entitled to benefits under this shall be made by the Secretary in accordance with regulations prescribed by him. Authorizes the appropriation to the Federal Hospital Insurance Trust Fund of such sums as the Secretary considers necessary for any fiscal year for the purposes of the program created by this Act. Authorizes the Secretary to make grants and enter into contracts with institutions to meet the cost of training programs in the techniques and methods of providing long-term health care.
Bill· HRH.R. 5431 (95th)referred
United States · United States Congress · 22 March 1977
Amends Title XIX (Medicaid) of the Social Security Act to prohibit any expenditure to an individual to the extent to which an entity (other than a member of the individual's family) would be liable for payment for such care and services but for a provision of a contract or a State law which has the effect of limiting or excluding such liability because the individual is eligible or entitled to receive care or services under the plan. Provides that a lien may be imposed by the State against the estate of a deceased individual after the death of his surviving spouse, on account of medical assistance paid or to be paid on his behalf under Title XIX.
Bill· HRH.R. 5427 (95th)referred
United States · United States Congress · 22 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for one comprehensive physical examination a year, dental care including dentures, eye examinations including eyeglasses, hearing aids including examination, treatment of foot conditions. Directs the Secretary of Health, Education, and Welfare to take steps to eliminate unnecessary or excessive medical appliance expenditures under the Medicare program by implementing appliance leasing, auditing of medical appliance manufacturers and providers, and by cross-referencing prevailing medical appliance rates. Includes under the term "medical appliance" hearing aids, eyeglasses, dentures, and similar health aids. States that the Federal Trade Commission should continue and increase scrutiny of the medical appliance industries in the interest of consumer protection. States that the Secretary of Health, Education, and Welfare should provide increased assistance to encourage the continuing education and training of hearing specialists, clinical audiologists, and physicians to improve the quality of hearing care, and to encourage the provision by State local governments of more and better hearing care for the elderly, including a network of examination and treatment sites.
Bill· HRH.R. 5386 (95th)referred
United States · United States Congress · 22 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to remove the limit of 100 visits which applies to post-hospital home health services. Drops the requirement that the home health care provided be of the same kind as provided in prior hospitalization. Eliminates the requirement that a physician review the home health care plan and that the patient be under the care of a physician. Requires that such functions be done by the appropriate health professional under regulation of the Secretary of Health, Education, and Welfare. Extends Medicare coverage to include periodic chore services, hospital outreach services, nutritional counseling, health and supportive services furnished in elderly day care centers, and expansion of professional standard review organization review functions. Requires the Secretary to establish a review plan which is adapted to meet the non-institutional nature of home health services. Extends Medicare coverage only to those outpatient rehabilitation services which are certified by a physician as being required.
Bill· HRH.R. 5384 (95th)referred
United States · United States Congress · 22 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to remove the limit of 100 visits which applies to post-hospital home health services. Drops the requirement that the home health care provided be of the same kind as provided in prior hospitalization. Eliminates the requirement that a physician review the home health care plan and that the patient be under the care of a physician. Requires that such functions be done by the appropriate health professional under regulation of the Secretary of Health, Education, and Welfare. Extends Medicare coverage to include periodic chore services, hospital outreach services, nutritional counseling, health and supportive services furnished in elderly day care centers, and expansion of professional standard review organization review functions. Requires the Secretary to establish a review plan which is adapted to meet the non-institutional nature of home health services. Extends Medicare coverage only to those outpatient rehabilitation services which are certified by a physician as being required.
Bill· HRH.R. 5387 (95th)referred
United States · United States Congress · 22 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to remove the limit of 100 visits which applies to post-hospital home health services. Drops the requirement that the home health care provided be of the same kind as provided in prior hospitalization. Eliminates the requirement that a physician review the home health care plan and that the patient be under the care of a physician. Requires that such functions be done by the appropriate health professional under regulation of the Secretary of Health, Education, and Welfare. Extends Medicare coverage to include periodic chore services, hospital outreach services, nutritional counseling, health and supportive services furnished in elderly day care centers, and expansion of professional standard review organization review functions. Requires the Secretary to establish a review plan which is adapted to meet the non-institutional nature of home health services. Extends Medicare coverage only to those outpatient rehabilitation services which are certified by a physician as being required.
Bill· SS. 1071 (95th)referred
United States · United States Congress · 21 March 1977
Comprehensive Maternal and Child Health Protection Act - Title I: Comprehensive Maternal and Child Health Protection Benefits - Entitles an eligible child under this Act to receive from his health services provider all health care services related to the diagnosis and treatment of any disease, injury, or disability as well as any other health care services necessary for the adequate protection, maintenance, or restoration of his mental and physical health. Specifies that women eligible under this title shall be provided all health care service related to the diagnosis and treatment of pregnancy, disease or injury during pregnancy which could threaten the healthy development of the unborn child; and any injury, disability, or disease relating to or resulting from pregnancy that occurs during the 12 weeks immediately following the termination of a pregnancy, including but not limited to the mental well-being of the woman. Sets forth requirements for participating providers. Establishes guidelines for the method and amount of payment to providers. Establishes in the Department of Health, Education, and Welfare a Maternal and Child Health Protection Board to be composed of five members. Directs the Secretary of Health, Education, and Welfare, acting through the Board, to establish capitation rates to be paid to participating providers, to establish standards and qualifications for participating providers, and to monitor and study the operation of the provisions of this Act with special emphasis with regard to the provision of health services to eligible persons. Establishes a National Maternal and Child Health Protection Advisory Council to advise the Board on matters of general policy in the administration of this title, and to study the operation of this title and the utilization of health services under it. Directs the Board to appoint for each of the regions of the administration and for each health service area a regional or local advisory council. Specifies that it shall be the function of each such council to advise the regional or local representative of the Board on all matters directly relating to the administration of this title in the region or area. Requires the Board to consult with State health agencies to coordinate the administration of this title with related State and local activities. Directs the Board to make an agreement with any State which is able and willing to do so under which the State health agency will be utilized by the Board in determining whether providers of services meet or continue to meet the qualifications and requirements established in regulation issued by the Board. Requires the Board to disseminate, to providers of service and to the public, information concerning the provisions of this title. Authorizes the Board to make statistical and other studies of any aspect of the operation of this title, including studies of the effect to the title upon the health of the people of the United States. States that determination of entitlement to benefits under this title, determinations of who are participating providers of services, and determination of capitation rates to be paid by the Board to participating providers shall be made by the Board in accordance with regulations. Empowers the Board, under specified circumstances, to suspend or terminate the participation of the provider. Provides for judicial review of such suspension and termination orders. Directs that the provisions of this title shall terminate at the end of fiscal year 1981. Title II: Catastrophic Protection Tax Credit - Amends the Internal Revenue Code to allow a tax credit for medical expenses, not compensated for by insurance or otherwise, equal to the sum of: (1) 50 percent of the amount by which the medical expenses paid or incurred the taxpayer during the taxable year exceed ten percent but are less than or equal to 20 percent of his modified adjusted gross income, plus (2) 100 percent of the amount by which such medical expenses exceed 20 percent of his modified adjusted gross income.
Bill· HRH.R. 5236 (95th)referred
United States · United States Congress · 21 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· SS. 1048 (95th)referred
United States · United States Congress · 18 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to extend coverage under the supplemental medical insurance program of such Title to aliens who are, and were on January 1, 1975, permanently residing in the United States under color of law although they are not lawfully admitted for permanent residence.
Bill· HRH.R. 5219 (95th)referred
United States · United States Congress · 17 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for hearing aids and eyeglass lenses, and examinations related to each, and dentures under the supplementary medical insurance program.
Bill· HRH.R. 5207 (95th)referred
United States · United States Congress · 17 March 1977
National Diabetes Advisory Board Act - Directs the Secretary of Health, Education, and Welfare to establish a National Diabetes Advisory Board to insure the implementation of the long-range plan formulated by the National Commission on Diabetes to combat diabetes. Specifies seven Federal health officers as members of the Board, in addition to seven health professionals and five members of the general public to be appointed by the Secretary. Requires the Board to submit simultaneously to the President and Congress an Annual Diabetes Report describing Board Activities in the prior year and progress made in diabetes research, treatment, and education with specific reference to the long-range plan to combat diabetes mellitus and suggesting recommended future expenditures and legislation. Authorizes the appropriation of $500,000 for fiscal year 1976 and such sums as are necessary for each of the four fiscal years thereafter. Establishes within the National Institutes of Health a program of Distinguished Scientist Awards. Authorizes the Secretary to make such awards to individual scientists who have shown continuous and outstanding productivity in diabetes research for the purpose of continuing such research. Sets the amount of each grant at $35,000 per year. Authorizes, under the Public Health Service Act, the appropriation of specified sums in fiscal years 1977-1981 for the purpose of making grants to centers for research and training in diabetes mellitus and related endocrine and metabolic disorders.
Bill· HRH.R. 5187 (95th)referred
United States · United States Congress · 17 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to require that the charge to a provider of services under such title for the costs of utilization review shall be calculated without apportioning such costs among the non-Medicare patients of such provider.
Bill· HRH.R. 5153 (95th)referred
United States · United States Congress · 16 March 1977
Directs the Secretary of Agriculture to make loans through the Agricultural Credit Insurance Fund to agricultural producers in the United States who sustain losses incurred on or after January 1, 1973, as a direct result of their food crops, animal feedcrops, livestock (including poultry), or livestock products being quarantined or condemned by a Federal or State official because such crops, livestock or products contain quantities of toxic chemicals dangerous to the public health. Sets a maximum loan amount of $100,000, a term of seven years, and leaves the interest rate to the Secretary's discretion. Requires repayment of the loan up to the amount of the compensation within three months of the receipt of any compensation for losses for which the loan was made. Permits the Secretary to postpone all but a nominal amount of principal and interest payments for up to three years.
Bill· HRH.R. 5145 (95th)referred
United States · United States Congress · 16 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for prescription drugs under the supplementary medical insurance program.
Bill· HRH.R. 5129 (95th)referred
United States · United States Congress · 16 March 1977
Authorizes the Secretary of Defense to contract with health maintenance organizations to provide medical care for members of the armed forces and their dependents.
Bill· HRH.R. 5125 (95th)referred
United States · United States Congress · 16 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize the Secretary of Health, Education, and Welfare to determine, on the basis of medical evidence, whether purchase of durable medical equipment by a patient pursuant to title XVIII would be less costly or more practical than rental of such equipment. Allows the Secretary to waive the 20 percent coinsurance amount with respect to purchases of durable medical equipment whenever the purchase price of the equipment is at least 25 percent less than the reasonable charge for comparable new equipment. Directs the Secretary to encourage suppliers of durable medical equipment to make their equipment available to individuals entitled to benefits under title XVIII.
Bill· HRH.R. 5105 (95th)referred
United States · United States Congress · 16 March 1977
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to public and nonprofit private entities which are engaged in the development of new schools of veterinary medicine to assist in such development. Requires applying schools to demonstrate that there is a reasonable indication that non-Federal financial resources for development will be available and that Federal assistance will accelerate the date on which the school will be able to begin its teaching program.
Bill· HRH.R. 5143 (95th)referred
United States · United States Congress · 16 March 1977
Amends the Social Security Act to maintain the inpatient hospital deductible under the medicare program at the level which was applicable during calendar year 1976.
Bill· HRH.R. 5104 (95th)referred
United States · United States Congress · 16 March 1977
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to public and nonprofit private entities which are engaged in the development of new schools of veterinary medicine to assist in such development. Requires applying schools to demonstrate that there is a reasonable indication that non-Federal financial resources for development will be available and that Federal assistance will accelerate the date on which the school will be able to begin its teaching program.
Bill· HRH.R. 5115 (95th)referred
United States · United States Congress · 16 March 1977
Repeals Titles XV (National Health Planning and Development) and XVI (Health Resources Development) of the Public Health Services Act.
Bill· HRH.R. 5047 (95th)referred
United States · United States Congress · 15 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 5027 (95th)passed
United States · United States Congress · 14 March 1977
Removes from the definition of "Veterans' Administration facility" private facilities contracted for when Government facilities are not capable of furnishing economical care because of geographic inaccessibility. Repeals the requirement that medical services be furnished only within the limits of Veterans' Administration facilities to: (1) any eligible veteran on an outpatient or ambulatory basis; or (2) any veteran on pension receiving a care and attendance allowance or who is permanently housebound.
Law· HRH.R. 4975 (95th)open
United States · United States Congress · 14 March 1977
Biomedical Research Extension Act - Amends the Public Health Service Act to extend through fiscal year 1978 the assistance programs for: medical libraries; cancer control programs; the National Cancer Institute; heart, blood vessel, lung, and blood disease prevention and treatment programs; the National Heart, Lung and Blood Institute; and the National Research Service awards. Allows an increase in payments made under this Act to national cancer research and demonstration and national heart research centers and demonstration centers in any fiscal year in which there is an increase in the cost of such centers as reflected in the Consumer Price Index. Appoints the Director of the Office of Science and Technology Policy to the National Heart, Lung, and Blood Advisory Council and removes the Director of the National Science Foundation from such Council. Reduces from five to three the number of years that a national research and demonstration center for heart, blood vessel, lung and blood diseases may receive support and extensions of support under the Public Health Service Act.
Bill· HRH.R. 4976 (95th)referred
United States · United States Congress · 14 March 1977
Health Services Extension Act - Amends the Public Health Service Act to authorize appropriations for fiscal year 1978 for grants to: (1) States for comprehensive public health services; (2) hypertension programs; (3) planning, development and operation of migrant health centers; (4) planning, development and operation of community health centers; (5) training and research of family planning projects; (6) infant sudden death syndrome programs; (7) hemophilia programs; and (8) blood separation centers. Directs the Secretary of Health, Education, and Welfare to take into account unusual local conditions which are a barrier to access to personal health services when defining a medically underserved population. Authorizes the Administrator of the National Credit Union Administration to make insured loans to eligible students. Changes the definition of eligible institution for the purpose of student assistant programs to mean a school of medicine, osteopathy, dentistry, optometry, pharmacy, podiatry, veterinary medicine, or public health within the United States that received a grant, or that the Secretary determines met the requirements for a grant for the preceding fiscal year. Extends to all educational loans obtained by an individual for costs at a school of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, or podiatry the program of loan forgiveness by the Secretary of Health, Education, and Welfare under specific employment agreements. Includes tuition and fees in traineeship awards made to students in schools of public health. Requires a school of medicine to reserve positions in the school year for students transferring from foreign schools of medicine. Directs the Secretary to identify those students who were enrolled either in foreign medical schools or in schools in the United States which prepare a student for entrance into the third year of medical school in the United States, and who passed part I of the National Board of Medical Examiners' examination. Directs the Secretary to apportion positions among schools of medicine in the United States to accommodate such students. Requires each area health center to provide a medical residency training program in general internal medicine, family medicine, or general pediatrics. Directs that grants for training in emergency medicine include the cost of graduate medical education traineeships for individuals who intend to specialize in the practice of emergency medicine. Directs that grants be made and contracts entered into for the improvement of programs of recruitment, training, and retraining of allied health personnel. Includes all public or nonprofit private entities capable of carrying out allied health special projects in the definition of entities eligible for grants for such projects. Establishes an Indian Health Scholarship Program under the national Health Service Corps Scholarship program. Directs the Secretary to make computations for certain nursing school programs based on the school year during which grants were applied. Amends the Community Mental Health Centers Act to extend through fiscal year 1978 appropriations for: (1) planning and operation of community health centers; and (2) the National Center for Prevention and control of Rape. Increases from two to three the number of grants that a community mental health center is authorized to receive under sections of law in effect prior to the 1975 amendments to this Act without meeting the new requirements of this Act. Amends the Social Security Act to authorize appropriations for maternal and child health and crippled children's services for fiscal year 1978, and for each fiscal year thereafter. Amends the Social Security Amendments of 1972 to extend, through fiscal year 1980, the authority of the Secretary to pay States under the Medicaid program for the compensation or training of inspectors of long term care facilities. Authorizes appropriations for home health services and home health services training under the Social Security Act for fiscal year 1978. Amends the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 to authorize State plans required to be submitted under that Act to contain provisions relating to drug abuse or mental health. Amends the Drug Abuse Office and Treatment Act of 1972 to require that the Director of the Office of Drug Abuse Policy not be an employee of any department or agency of the United States engaged in any drug traffic prevention function. Amends the Health Professions Educational Assistance Act of 1976 to permit individuals who received scholarships under the Public Health and National Health Service Corps Scholarship Program before September 30,1977, to use periods of residency or internship served in a facility of the Public Health Service to satisfy obligations incurred under that Program.
Bill· HRH.R. 4974 (95th)referred
United States · United States Congress · 14 March 1977
Amends the Public Health Service Act to authorize appropriations through fiscal year 1978 for: health systems agencies; State health planning and development agencies; centers for health planning; construction of State medical facilities; area health services development; health services, research, evaluation, and demonstration activities supported by such Act; and the National Center for Health Statistics. Amends the Social Security Act to prohibit reimbursement to a State for Medicaid expenditures unless services were provided by an entity which: (1) is a health maintenance organization; and (2) less than one-half of the membership consists of individuals who are recipients of Medicaid or Medicare. Extends to September 30, 1977, the authorizations of appropriations for grants to health maintenance organizations. Authorizes assistance to public entities desiring to be designated as health systems agencies. Includes as gross income, for purposes of the Internal Revenue Code of 1954, any interest paid on a loan to a State for medical facilities after such facilities are sold by the Secretary of Health, Education, and Welfare.
Bill· HRH.R. 5009 (95th)referred
United States · United States Congress · 14 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 5034 (95th)referred
United States · United States Congress · 14 March 1977
Directs the Secretary of Agriculture to make loans through the Agricultural Credit Insurance Fund to agricultural producers in the United States who sustain losses incurred on or after January 1, 1973 as a direct result of contamination of their food crops, animal feedcrops, livestock (including poultry), or livestock products by toxic chemicals at levels dangerous to the public health or at such levels that the Secretary determines that the contamination has adversely affected the economic viability of the farming operation. Sets a maximum loan amount of $250,000, a term of ten years, and leaves the interest rate to the Secretary's discretion, not to exceed three percent. Requires repayment of the loan up to the amount of the compensation within three months of the receipt of any compensation for losses for which the loan was made. Permits the Secretary to postpone all but a nominal amount of principal and interest payments for up to three years.
Bill· HRH.R. 5020 (95th)referred
United States · United States Congress · 14 March 1977
DNA Research Act - Expresses the finding of Congress that all research with regard to DNA is either in interstate commerce or substantially affects such commerce. Requires the Secretary of Health, Education, and Welfare to promulgate guidelines for research involving DNA. Prohibits the granting of a patent on any procedure or organism resulting from such research unless all guidelines have been adhered to, and full disclosure has been made, regarding such process or organism. Imposes strict civil liability on persons carrying out such research for all injury to persons or property caused by such research. Authorizes the Secretary to issue licenses for research involving DNA. Prohibits any person from soliciting or accepting any specimen for research involving DNA or conducting such research unless a license for such research has been issued. Authorizes the Secretary to revoke, suspend, or limit such licenses for specified violations. Authorizes the Attorney General, at the Secretary's request, to bring suit to enjoin any activity by a research facility, licensed under this Act, which is believed by the Secretary to be unreasonably hazardous to the public health. Gives the Secretary authority to inspect facilities engaged in DNA research. Imposes criminal penalties for violation of this Act. Authorizes the court to render any person or entity convicted of such violation ineligible for Federal funds. Prohibits any research facility employer from discharging or discriminating against any employee because such employee is involved in a proceeding under this Act.
Bill· HRH.R. 5018 (95th)referred
United States · United States Congress · 14 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 5031 (95th)referred
United States · United States Congress · 14 March 1977
Amends the Public Health Service Act to allow medical facilities to be reimbursed by the Federal Government for emergency medical treatment given aliens unlawfully in the United States if such aliens are unable to pay the cost of such treatment or can pay only a part of the cost and the aliens or medical facilities which provided such treatment are not eligible under any public assistance program for payment or reimbursement of such cost. Requires that an application for reimbursement be submitted to the Secretary of Health, Education, and Welfare. Sets forth criteria for determining whether such an application shall be approved.
Bill· HRH.R. 4941 (95th)referred
United States · United States Congress · 14 March 1977
Health Care Expenditures Regulation Review Act - Requires any officer or agency in the executive branch of the Federal Government to submit all proposed health care regulations to each House of Congress. Sets forth the procedure by which a proposed health care regulation shall become effective. Directs the head of any Federal department or agency to give 60 days notice to the relevant committees of the House of Representatives and Congress, prior to initial publication of any regulation which relates to: (1) costs or expenditures of, or reimbursements to, individuals or providers of health care; or (2) the fixing of any rate or charge.
Bill· HRH.R. 4939 (95th)referred
United States · United States Congress · 14 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to establish the Special Commission on Quality Assurance and Utilization Control in Home Health Care. Outlines the duties of the Commission including a study, investigation, and review of the provision of home health care and services to individuals in the United States. Requires that on the basis of such study, investigation, and review, the Commission shall develop a detailed plan for quality assurance and utilization control in home health care. Requires that such plan be presented to the Congress no later than one year after the majority of the members of the Commission have been appointed. Requires the Secretary of Health, Education, and Welfare, within 90 days after the submission to him of the Commission's plan, to issue regulations modifying the standards, conditions, and requirements of Titles XVIII, XIX (Medicaid) and XX (Grants to States for Services) relating to home health agencies and home health care as may be necessary to implement such plan and carry out the Commission's accompanying recommendations.
Bill· HRH.R. 4900 (95th)referred
United States · United States Congress · 14 March 1977
Health Security Act - Title I: Health Security Benefits - Makes every resident of the U.S. (and every non-resident citizen when in the U.S.) eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Extends coverage to all necessary professional services of physicians, wherever furnished. Extends coverage to: (1) comprehensive dental services (exclusive of most orthodontic services) for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered; (2) inpatient and outpatient hospital services and services of a home health agency; and (3) pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Extends coverage to two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Lists approved medicines available for use in institutions and by comprehensive health service organizations and those available for use outside such organized settings. Declares that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Extends coverage to professional services of optometrists and podiatrists, subject to regulations, and diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. Excludes from coverage: (1) health services furnished or paid for under a workmen's compensation law; and (2) services of a professional practitioner if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Makes professional practitioners licensed when the program becomes eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to existing State standards. Establishes conditions of participation for general hospitals. Makes psychiatric hospitals eligible to participate only if the Board finds that the hospital is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Allows the participation of the following as providers of health services under this Act: (1) a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients; (2) a foundation sponsored by a county or other local medical society; and (3) community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of medical services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when acting as an employee. Allows reimbursement for any services furnished by such institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State. Grants similar authority to other professional and nonprofessional health personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Directs that three separate accounts be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Make provision for allocation of the Health Services account among the regions of the country. Stipulates that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Directs the Board to divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Stipulates that payments for covered services provided to eligible persons by participating providers shall be made from the Health Service Account in the Trust Fund. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Stipulates that skilled nursing homes and home health agencies shall be paid in the same manner as a general hospital (on an approved annual budget basis). Stipulates that a health organization shall be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services; and (2) to organizations providing comprehensive ambulatory care, to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Requires that the members be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Directs the Advisory Council to advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, and reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services and the administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Authorizes the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. Stipulates that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to one percent on employees and 3.5 percent on employers. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent. Adds a new one percent Health Security Tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act; and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commission shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Requires that after the effective date of benefits received under this Act no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of the Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· HRH.R. 4907 (95th)referred
United States · United States Congress · 14 March 1977
Amends Title XIX (Medicaid) of the Social Security Act to assure the individuals otherwise eligible for benefits under such Title do not lose such eligibility, or have the amount of such benefits reduced, because of increases in the amount of benefits under Title II (Old-Age, Survivors, and Disability Insurance) of such Act.
Bill· HRH.R. 4869 (95th)referred
United States · United States Congress · 10 March 1977
Amends the Public Health Service Act to establish, within the National Institutes of Health, the Center for the Evaluation of Medical Practice. Directs the Secretary of Health, Education, and Welfare to use the Center to conduct and support research on the evaluation of the effectiveness of medical practice; including (1) diagnostic and casefinding techniques; (2) therapeutic procedures; and (3) the appropriate use of facilities, equipment and technology. Establishes an advisory council to advise the Secretary with respect to the administration of this Act.
Bill· HRH.R. 4849 (95th)referred
United States · United States Congress · 10 March 1977
Recombinant DNA Research Act - Amends Title IV (National Research Institutes), of the Public Health Service Act to direct the Secretary of Health, Education, and Welfare to regulate research with regard to recombinant DNA. Requires the Secretary, within 180 days after the date of enactment of this Act, to promulgate regulations to implement the license requirements of this Act. Stipulates that such regulations shall: (1) prescribe physical and biological containment requirements for recombinant DNA research projects; (2) prescribe requirements respecting laboratory safety techniques to be followed by personnel involved in recombinant DNA research projects; (3) prescribe requirements respecting the establishment and operation of institutional review committees for recombinant DNA research; and (4) prescribe requirements respecting reports to be made by persons engaged in recombinant DNA projects. Prohibits anyone from engaging in a recombinant DNA research project 180 days after enactment of this Act unless such person holds a license to engage in such research or is under the direct supervisions of a person holding such a license. Prescribes the terms and conditions that an application for such a license and the license issued by the Secretary shall contain. States that such license shall be valid for up to 24 months and may be reviewed. Directs the Secretary to publish in the Federal Register a detailed description of the research project for which the license was issued or renewed. Directs the Secretary to designate not more than ten centers for the conduct of research projects involving recombinant DNA which require the highest level of physical containment measures. Requires the Secretary to prescribe the information that an application for designation as a research center shall contain. Allows the Secretary to make grants to designated nonprofit private centers to enable such centers to meet the cost of complying with requirements for designation as a maximum containment research center. Authorizes agents designated by the Secretary to inspect any laboratory in a State in which recombinant DNA research is being conducted. Stipulates that such agents are not required to obtain a search warrant from any judicial officer prior to the inspection. Directs the inspector prior to leasing the premises to give the individual in charge of the laboratory a preliminary report indicating any violations of the licensing requirements. Requires the inspector to send a final written report to the agent in charge of the laboratory within 30 days of the completion of the inspection. Authorizes the Secretary, after reasonable notice and opportunity for a hearing, to revoke the license of a person who has violated the terms and conditions of such license or has failed or refused to permit an authorized inspection. Makes any person violating such licensing requirements liable to the United States for a civil penalty in an amount not to exceed $1,000 for each violation. Allows a person who is aggrieved by an order of the Secretary assessing a civil penalty, to file a petition for judicial review with the circuit court in which such person resides or transacts business. Prohibits, with specified exceptions, any State or political subdivision thereof from establishing or continuing any requirement with respect to recombinant DNA research projects which is different from requirements established by the Secretary. Establishes the Recombinant DNA Research Advisory Committee to make recommendations to the Secretary related to the effective administration of this Act.
Bill· HRH.R. 4837 (95th)referred
United States · United States Congress · 10 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 4856 (95th)referred
United States · United States Congress · 10 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to include within the meaning of the term "hospital" under such Title, rural health facilities of 50 beds or less. Sets forth exceptions to staffing, health, and safety requirements set forth for hospitals in the definition of such term.
Bill· HRH.R. 4848 (95th)referred
United States · United States Congress · 10 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 4840 (95th)referred
United States · United States Congress · 10 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 4855 (95th)referred
United States · United States Congress · 10 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide reimbursement to public district hospitals which provide care to indigent patients in counties which do not have a county hospital for indigent care.
Bill· HRH.R. 4810 (95th)referred
United States · United States Congress · 10 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 4770 (95th)referred
United States · United States Congress · 9 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for hearing aids and dentures under the supplementary medical insurance program.
Bill· HRH.R. 4779 (95th)referred
United States · United States Congress · 9 March 1977
Directs the Secretary of Agriculture to make loans through the Agricultural Credit Insurance Fund to agricultural producers in the United States who sustain losses incurred on or after January 1, 1973, as a direct result of their food crops, animal feedcrops, livestock (including poultry), or livestock products being quarantined or condemned by a Federal or State official because such crops, livestock or products contain quantities of toxic chemicals dangerous to the public health. Sets a maximum loan amount of $100,000, a term of seven years, and leaves the interest rate to the Secretary's discretion. Requires repayment of the loan up to the amount of the compensation within three months of the receipt of any compensation for losses for which the loan was made. Permits the Secretary to postpone all but a nominal amount of principal and interest payments for up to three years.
Bill· HRH.R. 4771 (95th)referred
United States · United States Congress · 9 March 1977
Amends Title XIX (Medicaid) of the Social Security Act to direct the Secretary of Health, Education, and Welfare to pay a specified percentage of each State's costs attributable to the establishment and operation of a State medicaid fraud and abuse control and prevention unit.
Bill· HRH.R. 4759 (95th)referred
United States · United States Congress · 9 March 1977
Recombinant DNA Research Act - Amends Title IV (National Research Institutes), of the Public Health Service Act to direct the Secretary of Health, Education, and Welfare to regulate research with regard to recombinant DNA. Requires the Secretary, within 180 days after the date of enactment of this Act, to promulgate regulations to implement the license requirements of this Act. Stipulates that such regulations shall: (1) prescribe physical and biological containment requirements for recombinant DNA research projects; (2) prescribe requirements respecting laboratory safety techniques to be followed by personnel involved in recombinant DNA research projects; (3) prescribe requirements respecting the establishment and operation of institutional review committees for recombinant DNA research; and (4) prescribe requirements respecting reports to be made by persons engaged in recombinant DNA projects. Prohibits anyone from engaging in a recombinant DNA research project 180 days after enactment of this Act unless such person holds a license to engage in such research or is under the direct supervisions of a person holding such a license. Prescribes the terms and conditions that an application for such a license and the license issued by the Secretary shall contain. States that such license shall be valid for up to 24 months and may be reviewed. Directs the Secretary to publish in the Federal Register a detailed description of the research project for which the license was issued or renewed. Directs the Secretary to designate not more than ten centers for the conduct of research projects involving recombinant DNA which require the highest level of physical containment measures. Requires the Secretary to prescribe the information that an application for designation as a research center shall contain. Allows the Secretary to make grants to designated nonprofit private centers to enable such centers to meet the cost of complying with requirements for designation as a maximum containment research center. Authorizes agents designated by the Secretary to inspect any laboratory in a State in which recombinant DNA research is being conducted. Stipulates that such agents are not required to obtain a search warrant from any judicial officer prior to the inspection. Directs the inspector prior to leasing the premises to give the individual in charge of the laboratory a preliminary report indicating any violations of the licensing requirements. Requires the inspector to send a final written report to the agent in charge of the laboratory within 30 days of the completion of the inspection. Authorizes the Secretary, after reasonable notice and opportunity for a hearing, to revoke the license of a person who has violated the terms and conditions of such license or has failed or refused to permit an authorized inspection. Makes any person violating such licensing requirements liable to the United States for a civil penalty in an amount not to exceed $1,000 for each violation. Allows a person who is aggrieved by an order of the Secretary assessing a civil penalty, to file a petition for judicial review with the circuit court in which such person resides or transacts business. Prohibits, with specified exceptions, any State or political subdivision thereof from establishing or continuing any requirement with respect to recombinant DNA research projects which is different from requirements established by the Secretary. Establishes the Recombinant DNA Research Advisory Committee to make recommendations to the Secretary related to the effective administration of this Act.
Bill· HRH.R. 4716 (95th)referred
United States · United States Congress · 9 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· SS. 945 (95th)referred
United States · United States Congress · 8 March 1977
Recombinant DNA Standard Act - Title I: Regulations Governing the Conduct and Development of Recombinant DNA Research - Requires the Secretary of Health, Education, and Welfare to promulgate regulations applicable to recombinant DNA research. Makes such regulations applicable to all such research which is in or affects commerce, or which is carried on in any area subject to United States jurisdiction. Authorizes agents designated by the Secretary to enforce this Act to enter and inspect facilities engaged in recombinant DNA research. Requires the Attorney General, at the Secretary's request, to bring suit in United States District Court to enjoin the continuation of research involving recombinant DNA which constitutes a significant hazard to the public health. Grants any individual standing to sue for injunctive relief under this Act if such person has reason to believe that such research constitutes a significant hazard to the public health. Entitles persons bringing civil actions under this Act to recover reasonable attorneys' fees, fees and costs of experts, and litigation expenses. Establishes criminal penalties for violation of this Act. Title II: Study of Recombinant DNA Research and Technology - Establishes a National Commission for the Study of Recombinant DNA Research and Technology to: (1) conduct a study on the appropriations of continuing such research; (2) identify the ethical and scientific principles which should underlie such research; (3) develop guidelines for DNA research; (4) make recommendations to the Secretary for administrative action with respect to the application of such guidelines and principles. Requires the Commission to undertake a comprehensive study of the ethical, social, and legal implications of advances in recombinant DNA research and technology. Sets for the administrative procedure to be followed by the Secretary with respect to recommendations of the Commission.