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351 records in US in 1990
United States · United States Congress · 13 March 1990
Home Dialysis Equity Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover erythropoietin for home dialysis patients competent to use such drug without supervision.
United States · United States Congress · 12 March 1990
Medigap Reform Act of 1990 - Amends the Internal Revenue Code to impose an excise tax on Medicare supplemental insurance policies that do not conform to specified Federal standards established by this Act. Requires such tax, equal to 50 percent of the premium, to be paid by the policy issuer. Requires the Secretary of Health and Human Services to establish an advisory committee to review and advise on the standards established under this Act.
United States · United States Congress · 9 March 1990
Breast and Cervical Cancer Mortality Prevention Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to make grants to States, with regard to breast and cervical cancer, for screening, referrals and follow-up services, public information and education programs, education and training for health professionals, quality monitoring of screening, and evaluations of such activities. Sets forth preferences in making the grants and requires equitable geographical distribution. Requires matching non-Federal funds in a specified ratio. Requires that States agree to: (1) provide all of certain services by a specified date; (2) switch to any improved screening procedures which become available; and (3) assure the quality of any screening procedures used. Directs the Secretary to establish guidelines for assuring the quality of mammography and cytological screening conducted under these provisions. Requires that low-income women be given priority in the provision of services. Requires that a charge for services, if any: (1) be made according to a public schedule; (2) be adjusted for income of the woman involved; and (3) not be imposed on any woman with incomes below the poverty line. Requires services to be provided throughout a State, including to members of any Indian tribe or tribal organization. Authorizes the Secretary to provide training and technical assistance. Directs the Secretary to provide for annual evaluations of programs carried out under this Act. Authorizes appropriations. Limits the number of grants made to seven in FY 1991.
United States · United States Congress · 9 March 1990
Medicare Supplemental Policy Consumer Warning Act - Prohibits any advertisement, direct mail solicitation, or proffer of a contract for a Medicare (title XVIII of the Social Security Act) supplemental health insurance policy without the prominent broadcast or display of a specified warning that such policies cover only a small portion of the costs not covered by Medicare. Imposes a $100,000 fine for each violation of such warning requirement.
United States · United States Congress · 9 March 1990
Designates March 30, 1990, as National Doctor's Day.
United States · United States Congress · 8 March 1990
Fair Treatment Act of 1990 - Amends the Public Health Service Act to revise, with regard to alcohol and drug abuse and mental health services block grants, the formulas for determination of allotments and minimum allotments to States.
United States · United States Congress · 8 March 1990
Designates February 17 through 23, 1991, as National Visiting Nurse Associations Week.
United States · United States Congress · 8 March 1990
Vaccine and Immunization Amendments of 1990 - Amends the Public Health Service Act to authorize appropriations for specified immunization programs. Directs the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to acquire and maintain a supply of vaccines sufficient to provide vaccinations throughout a six-month period. Authorizes appropriations. Authorizes appropriations to carry out the National Vaccine Program.
United States · United States Congress · 8 March 1990
Breast and Cervical Cancer Mortality Prevention Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to make grants to States, with regard to breast and cervical cancer, for screening, referrals and follow-up services, public information and education programs, education and training for health professionals, quality monitoring of screening, and evaluations of such activities. Sets forth preferences in making the grants and requires equitable geographical distribution. Requires matching non-Federal funds in a specified ratio. Requires that States agree to: (1) provide all of certain services by a specified date; (2) switch to any improved screening procedures which become available; and (3) assure the quality of any screening procedures used. Directs the Secretary to establish guidelines for assuring the quality of mammography and cytological screening conducted under these provisions. Requires that low-income women be given priority in the provision of services. Requires that a charge for services, if any: (1) be made according to a public schedule; (2) be adjusted for income of the woman involved; and (3) not be imposed on women with incomes below the poverty line. Requires services to be provided throughout a State, including to members of any Indian tribe or tribal organization. Authorizes the Secretary to provide training and technical assistance. Directs the Secretary to provide for annual evaluations of programs carried out under this Act. Authorizes appropriations. Limits the number of grants made to seven in FY 1991.
United States · United States Congress · 8 March 1990
Medicare Community Health Centers and Rural Health Clinic Amendments of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover outpatient services provided by health centers which: (1) are eligible for Public Health Service Act grants to migrant health centers, community health centers, or for health care services to the homeless; or (2) were comprehensive federally-funded health centers as of January 1, 1990. Makes deductibles inapplicable to services provided by such health centers. Permits such centers to waive Medicare coinsurance requirements when providing services to individuals who qualify for subsidized services under the Public Health Service Act. Requires the Secretary of Health and Human Services to approve or disapprove a rural health clinic's application for certification within 60 days of the State agency's determination that the clinic qualifies for rural health clinic status. Establishes a temporary one-year waiver of certain staffing requirements for rural health clinics that, despite reasonable efforts, have been unable to hire appropriate personnel. Requires that productivity screening guidelines take into account the combined services of a rural health clinic's staff. Gives rural health clinics and health centers covered by this Act the same appeal and hearing rights as other Medicare providers. Directs the Comptroller General to conduct a study and report to the Congress on whether physicians practicing in community and migrant health centers are able to obtain admitting privileges at local hospitals.
United States · United States Congress · 8 March 1990
Designates February 17 through 23, 1991, as National Visiting Nurse Associations Week.
United States · United States Congress · 7 March 1990
Medicare Home Benefits Improvement Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover up to 80 hours of annual in-home respite care furnished to an individual who has incurred expenses equal to a specified Medicare Part B (Supplementary Medical Insurance) cost-sharing limit and, for the preceding three months, has been unable to perform at least two specified daily living activities without the assistance of an uncompensated primary caregiver with whom he or she resides. Covers nursing care and home health aide services as home health services if such services are needed less than seven days each week or are needed for up to 38 consecutive days. Amends part A (Hospital Insurance) of the Medicare program to create an extension period of hospice care for terminally ill beneficiaries which is to follow the two 90-day periods and the subsequent 30-day period of hospice care coverage currently provided in an individual's lifetime. Covers home intravenous drug therapy services. Increases the Medicare part B premium.
United States · United States Congress · 7 March 1990
Designates August 20 through August 26, 1990, as National Headache and Jaw Joint Disorder Week.
United States · United States Congress · 6 March 1990
Comprehensive AIDS Resources Emergency Act of 1990 - Title I: HIV Emergency Relief Grant Program - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to award emergency relief grants to any metropolitan statistical area (eligible area) as specified by the Secretary that has reported more than 2000 AIDS cases and that meets other requirements. Requires that the grants be directed to the chief elected official of the city or county that administers the public health agency serving the greatest proportion of individuals with AIDS in the eligible area. Requires the administering local political subdivision (ALPS) to establish a mechanism to allocate funds based on the proportion of AIDS cases and the severity of need of the local political subdivisions. Provides for the establishment of an HIV health services planning council, by each ALPS and its chief elected official, to establish fund allocation priorities and assess fund allocation efficiency. Provides, at specified times, that one-half of funds appropriated for the grants be used for regular grants and one-half be used for supplemental grants. Allows the grants to be used by the grantee to provide assistance to any public or nonprofit hospital, clinic, nursing home, sub-acute care facility, or health center that is providing services to a disproportionate share of low-income individuals and families with HIV disease and is expending resources that exceed reimbursement. Allows a recipient institution to use the amounts to: (1) enhance the quality of services to low income individuals and families with HIV disease; and (2) deliver outpatient and ambulatory care services, including case management, to such individuals and families, including comprehensive treatment and support services. Allows grant amounts to be used to provide direct financial assistance to any public or nonprofit agency, clinic, community based organization, or community health center that has the capacity to provide case managed outpatient health and support services to individuals and families with HIV disease that are critical to prevent unnecessary inpatient hospitalization and to expedite the discharge of the individual to the most medically appropriate level of service. Allows grant amounts to be used to renovate or rehabilitate congregate care housing units, long-term care facilities, and sub-acute care facilities, provided certain conditions, including a requirement of matching local or State funds, are met. Authorizes appropriations. Title II: HIV Care Grants - Directs the Secretary to make grants to States to improve the quality, availability, and organization of care, treatment, and support services for individuals and families with HIV disease. Allows grant funds to be used, with regard to HIV disease, to: (1) establish and operate care consortia; (2) provide home- and community-based care; (3) assist mechanisms that assure the continuity of health insurance; (4) provide therapeutic treatments to low income individuals; and (5) integrate early intervention services with care and support services provided in existing public health and medical care settings. Requires a State, subject to waiver in certain circumstances, to use at least 15 percent of the funds allocated to provide health and support services to infants, children, women, and families with HIV disease. Requires that, to the extent practicable, services under these provisions be provided without regard to the ability of the individual to pay, and that: (1) any charges be pursuant to a public schedule; (2) no charges be imposed on an individual with an income of 200 percent of the poverty line or less; and (3) charges imposed on individuals above such income level be adjusted to reflect their income. Requires the Secretary to use ten percent of the funds appropriated under this title to: (1) provide technical assistance to States; and (2) establish and administer a Special Projects of National Significance Program to make direct grants to States, localities, or community-based organizations to fund special programs for the care and treatment of individuals with HIV disease. Sets forth: (1) award criteria; and (2) permitted goals of recipient programs. Authorizes appropriations. Title III: HIV Disease Health Services Research, Evaluation, and Assessment - Directs the Secretary, through the Agency for Health Care Policy and Research, to establish a program to enable independent research to be conducted by individuals and organizations to develop: (1) a comparative assessment of the impact and cost-effectiveness of major models for organizing treatment and support services; (2) a review of major health services financing mechanisms; (3) an assessment of how point-of-entry procedures for obtaining treatment and services impact cost, quality, and outcome, and the extent to which quality, cost, and outcome can be related to the source of payment; (4) a comprehensive report of financial, regulatory, organizational, and social barriers that serve to limit the delivery of services; (5) a summary concerning major and continuing unmet needs in health care, treatment, early intervention, and support service delivery; and (6) a review and assessment of models for the delivery of services to infants, children, women, and families.
United States · United States Congress · 6 March 1990
Medicaid State Share Protection Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to allow State Medicaid matching payments to include private funds donated by hospitals to the State and State taxes imposed with respect to the provision of Medicaid items and services.
United States · United States Congress · 6 March 1990
Title I: Housing and Urban Development - Makes emergency supplemental FY 1990 appropriations for the emergency shelter grants program under the Stewart B. McKinney Homeless Assistance Act. Title II: Health and Human Services - Makes emergency supplemental FY 1990 appropriations for: (1) health services for the homeless under the Public Health Service Act; and (2) community mental health services for the homeless under the Public Health Service Act, as authorized in the Stewart B. McKinney Homeless Assistance Act.
United States · United States Congress · 1 March 1990
Contraceptive and Infertility Research Centers Act of 1990 - Amends the Public Health Service Act to require the Director of the Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception and centers for diagnosing and treating infertility. Requires the Director, subject to appropriations, to provide for three centers with respect to contraception and two centers with respect to infertility. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Serivces. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations for FY 1991 through 1995. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct research with respect to contraception or infertility in consideration of the Government agreeing to repay, for each year of such service, not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations for FY 1991 through 1993. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated.
United States · United States Congress · 1 March 1990
United States · United States Congress · 1 March 1990
Expresses the sense of the Congress that: (1) the enactment of the 25th anniversary of the Older Americans Act of 1965 and its successful implementation should be recognized; (2) the contributions at all levels of the aging network fostered by this Act should be recognized; and (3) the Congress and citizens should reaffirm their support for the Act and its primary goals.
United States · United States Congress · 1 March 1990
Contraceptive Research Centers Act of 1990 - Amends the Public Health Service Act to require the Director of the National Institute of Child Health and Human Development to make grants and enter into contracts for centers for improving methods of contraception. Requires the Director, subject to appropriations, to provide for four centers. Requires each center to: (1) conduct clinical and other applied research; (2) develop training protocols for and conduct training of physicians, scientists, nurses, and other health and allied health professionals; (3) develop model continuing education programs; and (4) disseminate information to such professionals. Allows a center to use the funds to provide: (1) stipends for health and allied health professionals enrolled in the training programs; and (2) fees to individuals serving as subjects in the clinical trials. Requires each center to use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting requirements as prescribed by the Secretary of Health and Human Services. Allows support for a center to be for a period of up to five years, with extensions of one or more periods of up to five years if the center's operations have been reviewed by a peer review group and the group has so recommended. Authorizes appropriations. Amends the Public Health Service Act to direct the Secretary to establish a program of entering into agreements with health professionals, including graduate students, under which the professionals agree to conduct contraceptive research in consideration of repayment, for each year of such service, of not more than a specified amount of the principal and interest of their educational loans. Applies provisions of the National Health Service Corps Loan Repayment Program to this program, except as inconsistent. Authorizes appropriations. Requires amounts appropriated to remain available until the end of the second fiscal year after they are appropriated. Defines contraception to include prevention of fertilization or implantation, but to exclude termination of pregnancy after implantation.
United States · United States Congress · 1 March 1990
Medicare In-Home Care Benefit Act of 1990 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to cover in-home care for up to 120 hours per year for an individual who cannot perform at least two specified daily living activities without the assistance of an uncompensated primary caregiver with whom he or she resides. Finances such benefit through an increase in the Medicare part B premium. Directs the Secretary of Health and Human Services to conduct studies and submit reports to the Congress on: (1) the advisability of providing this Act's beneficiaries with alternative out-of-home services; and (2) the cost, effectiveness, and extent of use of this Act's benefit.
United States · United States Congress · 1 March 1990
Comprehensive Health Care for All Americans Act (Claude Pepper Comprehensive Health Care Act) - Division A: Health Security Partnership Act - Health Security Partnership Act - Title I: Universal Eligibility and Enrollment - Makes a U.S. resident who is a lawful resident alien or a U.S. citizen or national eligible to enroll in a health plan approved by the Health Security Partnership (HSP) program of the State in which he or she resides. Makes the enrollment of Medicare (title XVIII of the Social Security Act) beneficiaries applicable only to benefits not covered by the Medicare program. Title II: Benefits and Providers - Lists the basic health services which health plans must provide, to which Federal funding will be limited, and which may not include items or services for which Medicare coverage is unavailable. Permits States or health plans to offer additional health care benefits. Prohibits private health insurance from duplicating basic health service coverage. Restricts limitations on the amount, duration, or scope of basic health services to be provided to enrollees. Makes Medicare provider standards applicable to providers of basic health services. Authorizes the National HSP Board to impose additional conditions on providers of high-risk, high-cost, elective, or over-utilized items or services. Title III: Financing - Sets forth the procedure for determining NSP program budgets and the formula for determining the Federal share of expenditures. Establishes a Health Security Partnership Fund for each State into which revenues to finance the NSP program shall be placed. Requires each State HSP program to make monthly payments to health plans equal to their adjusted average per capita costs for required services provided to each class of enrollee they serve. Requires providers to accept payment from health plans on an assigned basis. Directs the National HSP Board to develop financial incentives in payment methods to promote a continuum of care. Pays institutional providers pursuant to a biennial prospective budgeting system to be developed by each State. Pays physicians pursuant to payment schedules based on a national relative value scale to be developed by the National HSP Board, though alternative payment mechanisms may be used if they are no more costly than the payment schedules. Makes HSP payment methodologies established in a State applicable to Medicare payments for services furnished in such State. Provides States with Federal funds for implementing their HSP programs. Limits the cost-sharing amounts health plans may charge enrollees. Bans the imposition of any cost-sharing requirements on individuals whose family income is less than 200 percent of the Federal poverty level. Establishes the Federal Long-Term Care Trust Fund from which Federal payments to States for long-term care benefits in the State shall be made. Tilte IV: Administration - Establishes a National HSP Board as an independent agency responsible for the overall administration of the Health Security Partnership Act. Directs each State to submit its HSP program to the National HSP Board for review of the program's compliance with specified requirements. Imposes sanctions against States whose program fails to meet such requirements and who fail to take corrective action within 90 days of a finding of noncompliance. Requires the National HSP Board to establish a National Commission on Quality to establish, evaluate, and update national minimum standards to assure the quality of HSP services and to monitor State HSP Boards' quality assurance efforts. Requires each State HSP Board to establish a State Commission on Quality to implement national minimum standards in each State. Directs the National HSP Board to establish a National Advisory Commission on Technology Assessment and Clinical Effectiveness of health care items and procedures, and the possible coverage of new drugs and technological procedures and discontinuance from coverage of inefficient procedures. Establishes a National Resources Equalization Fund to be administered by the National HSP Board and to be used to augment the capability of medically under-developed areas to provide HSP services and to strengthen their abilities to provide local services. Authorizes appropriations for such Fund. Title V: Effective Dates; Transition; Relation to Other Programs - Makes the HSP program applicable to health care services furnished during the third calendar year beginning after this Act's enactment. Authorizes appropriations for the planning and development of State HSP programs. Requires Federal Employee Health Benefit Plans to be HSP-approved. Establishes the HSP program's relationship to other health care programs, making the Medicare program the primary payor in the event of duplicative HSP program coverage and the Medicaid program (title XIX of the Social Security Act) inapplicable in States having an operative State HSP program. Division B: Life Care Long-Term Protection Act - Lifecare Long-Term Care Protection Act - Adds a new title to the Public Health Service Act: Lifecare Long-Term Care Protection Program. Requires Long-Term Care Screening Agencies to assess individuals' eligibility for home and community-based care and Long-Term Care Case Management Agencies to conduct comprehensive needs assessments of eligible individuals, develop plans of care for such individuals, review such plans at least once every three months, and maintain a registry of qualified providers of home and community-based and nursing home care to assist individuals in choosing qualified providers to carry out their care plan. Sets the method for determining State fund contributions. Sets forth eligibility requirements for home and community-based care services, including requirements that the individual be: (1) 65 or older, under age 19, or eligible for benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act as the result of a disability; and (2) dependent, cognitively impaired, or unable to perform daily living activities without assistance or supervision. Enumerates the criteria for receipt of respite care benefits. Lists those entities considered to be qualified service providers, including adult day health care centers certified by the State. Directs the Secretary of Health and Human Services to make monthly payments to each case management agency equal to amounts allotted by the screening agency for eligible individuals in the case management agency's jurisdiction. Requires such agencies to make direct payments to qualified providers of home and community-based care which shall be accepted as payment in full for such services. Limits payments for home health and community-based care for the next three years to 65 percent of the average amount payable for Medicare nursing home care and, for subsequent years, to the costs of nursing home care minus the costs of room and board. Allots payments among individuals on the basis of severity of need, with chronically-ill individuals receiving amounts equivalent to Medicaid (title XIX of the Social Security Act) payments for institutional care. Requires a copayment by beneficiaries. Establishes the Home and Community-Based Care Advisory Council to review and assist the Secretary in the implementation of home and community-based care. Requires States to establish quality assurance boards to monitor quality of care and a community advisory board for each case management agency. Establishes a home and community-based care consumers' bill of rights. Imposes quality assurance requirements on providers of such care, including the requirement that they implement consumer grievance review mechanisms, ensure that their employees and other providers whom they have under contract have received adequate training, and annually evaluate the care furnished by such employees and providers. Establishes certification procedures for a survey of home care agencies, home health agencies, and adult day care health centers to determine eligibility for participation in the program under this Act. Outlines reimbursement procedures. Provides, subject to certain limitations, for nursing facility services for up to six months for individuals who are eligible for home and community-based care services. Allows additional nursing home coverage if: (1) the individual has not been an inpatient for at least six consecutive months; (2) the diagnosis is different; or (3) there has been a substantial worsening of the individual's condition since the latest discharge. Directs the Secretary to establish an optional insurance program for individuals 45 and over to cover nursing home stays that exceed six months. Prescribes procedures for setting premium rates and requires annual rate revisions by the Secretary. States that the rates are expected to cover 45 percent of the estimated nursing home costs of stays exceeding six months. Covers a portion of a low-income individuals' premium and room and board costs. Requires the Secretary to give individuals the option of purchasing coverage of nursing home stays exceeding six months without regard to age. Requires the Secretary, to the extent feasible, to establish a prospective payment mechanism for payment of nursing home services that takes into account the expected resource utilization of the patient based on the degree of disability and other factors. Requires the making of grants to schools of nursing, social work, allied health, and public health of universities to develop training programs for the provision of home and community-based care and nursing home care for the elderly, the disabled, and chronically ill children and in the administration of such programs. Authorizes appropriations through FY 1993. Requires that grants be made to State approved programs to train individuals in the provision of home health aide services. Authorizes appropriations through FY 1993. Requires the making of grants to university schools of nursing to develop model consumer training programs regarding the delivery of home care services. Authorizes appropriations through FY 1993. Requires that grants or contracts be made to assist public and private nonprofit entities in meeting the costs of developing centers for multidisciplinary health planning development and assistance. Authorizes appropriations through FY 1994. Directs the Secretary to conduct demonstration projects to determine: (1) the relative effectiveness, cost, and impact on quality of long-term home care of using different models of providing and reimbursing long-term home care services for seriously mentally ill individuals and family caregivers; and (2) the feasibility of providing long-term home care benefits for working-age individuals with severe functional limitations. Division C: Grants to States for Establishment and Implementation of State Health Objectives Plans - Health Objectives 2000 Act - Amends the Public Health Service Act to authorize appropriations for allotments to States for developing and implementing a plan to develop and collect data on the public health needs and status of State residents. Requires the plan to provide, for FY 1993 and thereafter, for use of the allotments for additional purposes described in specified provisions relating to preventive health and health services block grants. Requires the State plan to contain, among other elements, a set of at least five State health objectives chosen from the National Health Priorities described by the Secretary of Health and Human Services under this Act. Directs the Secretary to establish: (1) the National Health Objectives Advisory Committee; (2) National Health Priorities (NHPs) to form the basis for all activities that receive assistance under this Act; (3) from the NHPs, a set of Core Priorities that shall be included in each State Plan; and (4) an estimate of the personnel and training needed to accomplish the NHPs. Directs the Secretary, from the amounts made available for allotments, to use: (1) a limited amount for the professional training of public health personnel; and (2) remaining amounts to assist research, pilot and demonstration projects and programs the Secretary determines to show the potential impact of regional or national significance with respect to NHPs. Repeals specified provisions relating to preventive health and health services block grants. Division D: Independence for Older Americans - Independence for Older Americans Act - Title I: Task Force on Independence for Older Americans - Establishes a Task Force on Independence for Older Americans in the Department of Health and Human Services to: (1) coordinate Federal research on conditions and diseases leading to dependence among the elderly; (2) establish mechanisms for the use of research results in improving the quality of life for older Americans; and (3) review and evaluate public and private spending on such research. Authorizes appropriations for such Task Force. Title II: Geriatric Research and Training Centers - Amends the Public Health Service Act to require the Director of the National Institute on Aging to enter into cooperative agreements with, and make grants to, public and private nonprofit entities for the development of comprehensive centers of excellence for geriatric research and training of researchers and for the demonstration and dissemination of the applications of such research. Authorizes appropriations for such centers. Title III: Availability of Information to Health Professionals, Older Americans, and the General Public - Directs the Secretary of Health and Human Services to prepare a comprehensive plan for a National Independence for Older Americans Information Program. Provides for the establishment of an information clearinghouse, a toll-free telephone communications system, and public information campaigns concerning the maintenance and improvement of the health and independence of older Americans. Authorizes appropriations to carry out this title. Title IV: Prevention of and Recovery from Chronic Illness - Requires the National Institute on Aging to support research, and report to the Congress, on the most effective: (1) techniques of geriatric assessment; (2) method of targeting comprehensive geriatric assessment to appropriate populations of older persons to determine their health care needs; and (3) means of providing for such needs to maximize health and independence. Directs the Secretary to develop: (1) model techniques to aid in the prevention and rehabilitation of older persons from frailty and other mobility problems; and (2) model curricula for the health professions for training in the use of such techniques. Authorizes the National Institute on Aging to establish up to five demonstration programs at Comprehensive Independence Research Training and Demonstration Centers to prevent the loss of mobility and to help frail older persons regain independence, using existing and experimental techniques. Directs the Secretary to conduct research on the extent to which falls are associated with the loss of an individual's confidence in functioning independently and his or her need for long-term care. Requires the Secretary to develop and report to the Congress on the development of: (1) model techniques to aid in the recovery and rehabilitation of older persons from chronic and debilitating illness; and (2) model curricula for the health professions for training in the use of such techniques. Authorizes appropriations to carry out this title. Title V: Research on Health, Retirement, and Independence - Directs the Secretary to: (1) commence a ten-year health and retirement history survey and; (2) establish an advisory panel on data collection to review existing government surveys and census data to coordinate information on the health and retirement status of older Americans. Requires the National Center for Health Statistics to: (1) include persons age 75 and over in the National Health and Nutrition Examination Survey; (2) develop questions related to health promotion and disease prevention for older persons for inclusion in the National Health Interview Survey and the National Health and Nutrition Examination Survey; and (3) develop questions related to the health promotion and disease prevention practices of health care providers with special relevance to older persons for inclusion in the National Ambulatory Medical Care Survey. Directs the National Institute on Aging to request proposals from individual and team investigators on behavioral, social, and environmental mechanisms for promoting the health and independence of older Americans. Authorizes appropriations for carrying out this title. Title VI: Authorization of Appropriations for NIH - Authorizes FY 1991 appropriations to be added to the National Institute on Aging and other institutes in proportion to their current spending levels on aging research. Division E: Authorization of Additional Funds for Research for AIDS, Hypertension, Sickle Cell Anemia, Infant Mortality, and Breast Cancer - Authorizes additional appropriations for research for acquired immune deficiency syndrome (AIDS), hypertension, sickle cell anemia, infant mortality, and breast cancer.
United States · United States Congress · 1 March 1990
Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act to reduce, by one month in each of the next five years, the current 24-month waiting period required before individuals may become eligible for hospital insurance benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act on the basis of their entitlement to OASDI disability benefits. Amends the Medicare program to extend, from January 1, 1992, to January 1, 1997, provisions making Medicare the secondary payor for disabled beneficiaries who are Medicare-eligible under the OASDI program, for an item or service but are also covered for such item or service under a large group health plan.
United States · United States Congress · 28 February 1990
Infant Mortality Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Directs the Secretary of Health and Human Services to report to the Congress by July 1, 1991, on State error rates in determining the Medicaid eligibility of pregnant women and infants. Suspends error rate penalties attributable to such eligibility determinations made from July 1, 1989, until one year after the Secretary's report. Phases-in mandatory Medicaid coverage of children whose family income is below the Federal poverty level. Permits States to provide immediate Medicaid coverage of such children. Requires States to: (1) process Medicaid applications at locations which include locations other than those used for applications under part A (Aid to Families with Dependent Children) (AFDC) of title IV of the Social Security Act; and (2) use applications other than those used under the AFDC program. Permits States to provide Medicaid coverage to children who have attained age one but not age six and whose family income does not exceed 185 percent of the Federal poverty level. (Currently, States are required to cover children between such ages whose family income does not exceed 133 percent of the Federal poverty level.) Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants. Requires States which provide prospective Medicaid payments to hospitals to reimburse hospitals which serve a disproportionate share of low-income patients for exceptionally costly or lengthy stays by children.
United States · United States Congress · 28 February 1990
Designates the week of April 15 through April 21, 1990, as National Minority Cancer Awareness Week.
United States · United States Congress · 27 February 1990
State Offices of Rural Health Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to States to establish (or assist existing) State rural health offices to: (1) provide leadership and advocacy for rural residents with regard to rural health; (2) coordinate with the Agricultural Extension Service; (3) make recommendations on improving the quality and cost effectiveness of rural health care delivery; (4) report periodically to the Office of Rural Health Policy (Policy Office); and (5) communicate and cooperate with rural health research centers established by the Policy Office. Requires matching State funding. Prohibits States from using more than five percent of their grants for research. Specifies optional activities of the offices. Requires an annual meeting between representatives of each State office and representatives from the Policy Office to share information and coordinate strategies for improving quality and cost effectiveness of rural health care delivery. Authorizes appropriations.
United States · United States Congress · 27 February 1990
Health Insurance Counseling, and Assistance Act of 1990 - Directs the Secretary of Health and Human Services to: (1) make grants to States for the establishment or improvement of a program providing information, counseling, and assistance regarding the procurement of adequate and appropriate health insurance coverage to individuals who are eligible to receive benefits under title XVIII (Medicare) of the Social Security Act; (2) annually convene a conference to provide training and information to State health insurance information, counseling, and assistance program staff members; and (3) establish a national resource center for the purposes of creating a health insurance information clearinghouse, distributing such information to States, and providing States with technical assistance and training in disseminating such information. Authorizes appropriations for such grant programs and the national resource center.
United States · United States Congress · 27 February 1990
Medicare Screening Benefit Improvement Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women age 35 and older at a frequency which varies on the basis of a woman's age and risk of developing breast cancer. Covers colon-rectal screening examinations for individuals age 50 and older at a frequency which varies on the basis of the screening procedure used. Finances such coverage by increasing the Medicare part B (Supplementary Medical Insurance) premium.
United States · United States Congress · 27 February 1990
Designates June 3 through June 9, 1990, as Headache Awareness Week.
United States · United States Congress · 27 February 1990
Designates March 30, 1990, as National Doctor's Day.
United States · United States Congress · 27 February 1990
Designates May 16, 1990, as National Employee Health and Fitness Day.
United States · United States Congress · 22 February 1990
Lifecare Long-Term Care Protection Act - Adds a new title to the Public Health Service Act: Lifecare Long-Term Care Protection Program. Requires Long-Term Care Screening Agencies to assess individuals' eligibility for home and community-based care and Long-Term Care Case Management Agencies to conduct needs assessments of eligible individuals, develop and review care plans, and maintain a registry of qualified providers of home and community-based and nursing home care. Sets the method for determining State fund contributions. Sets forth eligibility requirements for home and community-based care services, including requirements that the individual be: (1) 65 or older, under age 19, or eligible for benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act as the result of a disability; and (2) dependent, cognitively impaired, or unable to perform daily living activities without assistance or supervision. Enumerates the criteria for receipt of respite care benefits. Lists those entities considered to be qualified service providers, including adult day health care centers certified by the State. Directs the Secretary of Health and Human Services to make monthly payments to each case management agency equal to amounts alloted by the screening agency for eligible individuals in the case management agency's jurisdiction. Requires such agencies to make direct payments to qualified providers of home and community-based care which shall be accepted as payment in full for such services. Limits payments for home health and community-based care for the next three years to 65 percent of the average amount payable for Medicare nursing home care and, for subsequent years, to the costs of nursing home care minus the costs of room and board. Allots payments among individuals on the basis of severity of need, with chronically-ill individuals receiving amounts equivalent to Medicaid (title XIX of the Social Security Act) payments for institutional care. Requires a copayment by beneficiaries. Establishes the Home and Community-Based Care Advisory Council to review and assist the Secretary in the implementation of home and community-based care. Requires States to establish quality assurance boards to monitor quality of care and a community advisory board for each case management agency. Establishes a home and community-based care consumers' bill of rights. Imposes quality assurance requirements on providers of such care, including the requirement that they implement consumer grievance review mechanisms, ensure that their employees and other providers whom they have under contract have received adequate training, and annually evaluate the care furnished by such employees and providers. Establishes certification procedures for a survey of home care agencies, home health agencies, and adult day care health centers to determine eligibility for participation in the program under this Act. Outlines reimbursement procedures. Provides, subject to certain limitations, for nursing facility services for up to six months for individuals who are eligible for home and community-based care services. Allows additional nursing home coverage if: (1) the individual has not been an inpatient for at least six consecutive months; (2) the diagnosis is different; or (3) there has been a substantial worsening of the individual's condition since the latest discharge. Directs the Secretary to establish an optional insurance program for individuals 45 and over to cover nursing home stays that exceed six months. Prescribes procedures for setting premium rates and requires annual rate revisions by the Secretary. States that the rates are expected to cover 45 percent of the estimated nursing home costs of stays exceeding six months. Covers a portion of a low-income individual's premium. Requires the Secretary, to the extent feasible, to establish a prospective payment mechanism for payment of nursing home services that takes into account the expected resource utilization of the patient based on the degree of disability and other factors. Requires the making of grants to schools of nursing, social work, allied health, and public health of universities to develop training programs for the provision of home and community-based care and nursing home care for the elderly, disabled, and chronically ill children. Authorizes appropriations through FY 1993. Requires that grants be made to State-approved programs to train individuals in the provision of home health aide services. Authorizes appropriations through FY 1993. Requires the making of grants to university schools of nursing to develop model consumer training programs regarding the delivery of home care services. Authorizes appropriations through FY 1993. Requires that grants or contracts be made to assist public and private nonprofit entities in meeting the costs of developing centers for multidisciplinary health planning development and assistance. Authorizes appropriations through FY 1993. Directs the Secretary to conduct demonstration projects to determine: (1) the relative effectiveness, cost, and impact on quality of long-term home care of using different models of providing and reimbursing long-term home care services for seriously mentally ill individuals and family caregivers; and (2) the feasibility of providing long-term home care benefits for working-age individuals with severe functional limitations.
United States · United States Congress · 22 February 1990
Tuberculosis Prevention Amendments of 1990 - Amends provisions of the Public Health Service Act authorizing appropriations for grants for preventive health services for tuberculosis to specify that the services are for the prevention, control, and elimination of tuberculosis. Amends provisions authorizing grants relating to the prevention and control of diseases that may be prevented through vaccination to add the goal of elimination of such diseases. Authorizes appropriations.
United States · United States Congress · 22 February 1990
Lifecare Long-Term Care Protection Act - Adds a new title to the Social Security Act: Lifecare Long-Term Care Protection Program. Requires Long-Term Care Screening Agencies to assess individuals' eligibility for home and community-based care and Long-Term Care Case Management Agencies to conduct comprehensive needs assessments of eligible individuals, develop plans of care for such individuals, review such plans at least once every three months, and maintain a registry of qualified providers of home and community-based and nursing home care to assist individuals in choosing qualified providers to carry out the care plan. Sets the method for determining State fund contributions. Sets forth eligibility requirements for home and community-based care services, including requirements that the individual be: (1) 65 or older, under age 19, or eligible for benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act as the result of a disability; and (2) dependent, cognitively impaired, or unable to perform daily living activities without assistance or supervision. Enumerates the criteria for receipt of respite care benefits. Lists those entities considered to be qualified service providers, including adult day health care centers certified by the State. Directs the Secretary of Health and Human Services to make monthly payments to each case management agency equal to amounts allotted by the screening agency for eligible individuals in the case management agency's jurisdiction. Requires such agencies to make direct payments to qualified providers of home and community-based care which shall be accepted as payment in full for such services. Limits payments for home health and community-based care for the next three years to 65 percent of the average amount payable for Medicare nursing home care and, for subsequent years, to the costs of nursing home care minus the costs of room and board. Allots payments among individuals on the basis of severity of need, with chronically-ill individuals receiving amounts equivalent to Medicaid (title XIX of the Social Security Act) payments for institutional care. Requires a copayment by beneficiaries. Establishes the Home and Community-Based Care Advisory Council to review and assist the Secretary in the implementation of home and community-based care. Requires States to establish quality assurance boards to monitor quality of care and a community advisory board for each case management agency. Establishes a home and community-based care consumers' bill of rights. Imposes quality assurance requirements on providers of such care, including the requirement that they implement consumer grievance review mechanisms, ensure that their employees and other providers whom they have under contract have received adequate training, and annually evaluate the care furnished by such employees and providers. Establishes certification procedures for a survey of home care agencies, home health agencies, and adult day care health centers to determine eligibility for participation in the program under this Act. Outlines reimbursement procedures. Provides, subject to certain limitations, for nursing facility services for up to six months for individuals who are eligible for home and community-based care services. Allows additional nursing home coverage if: (1) the individual has not been an inpatient for at least six consecutive months; (2) the diagnosis is different; or (3) there has been a substantial worsening of the individual's condition since the latest discharge. Directs the Secretary to establish an optional insurance program for individuals 45 and over to cover nursing home stays that exceed six months. Prescribes procedures for setting premium rates and requires annual rate revisions by the Secretary. States that the rates are expected to cover 45 percent of the estimated nursing home costs of stays exceeding six months. Covers a portion of a low-income individual's premium and room and boards costs. Requires the Secretary to give individuals the option of purchasing coverage of nursing home stays exceeding six months without regard to age. Requires the Secretary, to the extent feasible, to establish a prospective payment mechanism for payment of nursing home services that takes into account the expected resource utilization of the patient based on the degree of disability and other factors. Requires the making of grants to schools of nursing, social work, allied health, and public health of universities to develop training programs for the provision of home and community-based care and nursing home care for the elderly, the disabled, and chronically ill children and in the administration of such programs. Authorizes appropriations through FY 1993. Requires that grants be made to State approved programs to train individuals in the provision of home health aide services. Authorizes appropriations through FY 1993. Requires the making of grants to university schools of nursing to develop model consumer training programs regarding the delivery of home care services. Authorizes appropriations through FY 1993. Requires that grants or contracts be made to assist public and private nonprofit entities in meeting the costs of developing centers for multidisciplinary health planning development and assistance. Authorizes appropriations through FY 1994. Directs the Secretary to conduct demonstration projects to determine: (1) the relative effectiveness of using different models of long-term home care services for seriously mentally ill individuals and family caregivers; and (2) the feasibility of providing long-term home care benefits for working-age individuals with severe functional limitations.
United States · United States Congress · 22 February 1990
Small Hospital Disaster Relief Act of 1990 - Directs the Secretary of Health and Human Services to make a grant of up to a specified amount to each of four hospitals which: (1) have not more than 50 inpatient beds; (2) had a disproportionate patient percentage of not less than 25 percent during the year before applying for the grant; and (3) are located in a Federal disaster area.
United States · United States Congress · 22 February 1990
Medicaid AIDS and HIV Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to allow each State to provide Medicaid coverage of HIV-related services for individuals who have the HIV virus and an abnormally low immune function for which medical intervention is indicated and whose income and resources do not exceed the maximum amounts allowed under the State Medicaid program for disabled individuals. Allows States to provide Medicaid home and community-based services to children who have acquired immune deficiency syndrome (AIDS). Applies the same income and resource eligibility standards as would apply if such children were hospitalized. Requires States to increase payments for inpatient hospital services delivered to Medicare (title XVIII of the Social Security Act) beneficiaries with AIDS by hospitals serving high volumes of AIDS victims. Permits States to provide Medicaid coverage of the premiums charged individuals who are eligible for continued employer group health plan coverage after their loss of employment if such individuals also have the HIV virus and an income at or below the Federal poverty level.
United States · United States Congress · 22 February 1990
Universal Health Benefits Empowerment and Partnership Act of 1990 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for universal coverage under group health plans and State health benefits systems. Requires employers to offer coverage for eligible individuals under basic group health plans or group health payroll deduction plans. Sets forth requirements for State health benefit systems, including reporting, participation, benefits, and contribution requirements. Directs the Secretary of Health and Human Services (HHS) to prescribe regulations for State systems. Provides for State health benefits system coverage for uninsurable risks and preexisting conditions. Provides for certain basic health benefits systems as alternatives to State health benefits systems. Directs the Secretary of HHS to establish a program of grants to State health benefits systems and alternative basic health benefits systems in order to facilitate the effectuation of universal coverage. Authorizes appropriations. Preempts State laws which mandate certain health benefits or restrict managed medical care under employee welfare benefit plans. Amends the Internal Revenue Code (IRC) to remove certain restrictions on the tax-exempt status of multiple employer welfare arrangements (MEWAs) providing basic health benefits. Establishes certain annual reporting requirements for such MEWAs. Amends the Public Health Service Act (PHSA) to revise provisions for the Agency for Health Care Policy and Research (the Agency) and the Office of the Forum for Quality and Effectiveness in Health Care. Requires the Federal Advisory Council on Health Care Coverage and Costs (established by this Act) to: (1) study how practice guidelines may be used in reducing medical malpractice costs; and (2) report results and recommendations to the Secretary of HHS. Authorizes appropriations under the PHSA. Establishes a Federal Advisory Council on Health Care Coverage and Costs. Directs the Council to report at least annually to the Secretaries of HHS and of Labor, until the Secretary of HHS requests a final report. Terminates the Council upon submission of its final report. Amends the IRC to increase the deduction for health insurance costs of self-employed individuals from 25 percent to 100 percent. Repeals a termination provision, thus making such deduction permanent for plans established by the self-employed for themselves and their employees.
United States · United States Congress · 22 February 1990
Nursing Home Access to Respiratory Therapy Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to include respiratory therapy within covered extended care services.
United States · United States Congress · 22 February 1990
Amends title XVIII (Medicare) of the Social Security Act to permit certain hospitals located in specified disaster relief areas to be treated as Medicare-dependent, small rural hospitals for Medicare payment purposes.
United States · United States Congress · 22 February 1990
Designates the week beginning on October 7, 1990, and ending on October 13, 1990, as Mental Illness Awareness Week.
United States · United States Congress · 22 February 1990
Designates April 1990 as National Weight Loss Month.
United States · United States Congress · 21 February 1990
Disabilities Prevention Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the Centers for Disease Control, to make grants, contracts, or cooperative agreements for the prevention of disabilities and secondary conditions resulting from disabilities. Authorizes the Secretary to make such grants for: (1) coordinating prevention activities; (2) conducting demonstrations and interventions; (3) conducting surveillances and studies; (4) educating the public; and (5) subject to a limit of ten percent of amounts appropriated under this Act, educating and training health professionals and improving their clinical skills. Authorizes appropriations.
United States · United States Congress · 21 February 1990
Designates March 19 through March 25, 1990, as National Angel Plane Week.
United States · United States Congress · 21 February 1990
Disabilities Prevention Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to make grants for the prevention of disabilities and secondary conditions resulting from disabilities. Authorizes the Secretary to make such grants for: (1) coordinating prevention activities; (2) conducting demonstrations and interventions; (3) conducting surveillances and studies; (4) educating the public; and (5) educating and training health professionals and improving their clinical skills. Authorizes appropriations.
United States · United States Congress · 21 February 1990
Rural Nursing Incentive Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to provide direct coverage under part B (Supplementary Medical Insurance) of the Medicare program of nurse practitioner or clinical nurse specialist services furnished in rural areas. Sets the Medicare payment for such services at 80 percent of the lesser of the actual charge or the prevailing charge that would have been recognized had the services been performed by a physician. Requires that such payments be made on an assignment-related basis.
United States · United States Congress · 21 February 1990
Medicare Buy-In Extension Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to extend Medicaid coverage of Medicare (title XVIII of the Social Security Act) premiums, deductibles, and coinsurance payments after 1992 to Medicare beneficiaries whose income does not exceed 133 percent of the Federal poverty level.
United States · United States Congress · 20 February 1990
Designates May 16, 1990, as National Employee Health and Fitness Day.
United States · United States Congress · 8 February 1990
Designates the week beginning on October 7, 1990, and ending October 13, 1990, as Mental Illness Awareness Week.
United States · United States Congress · 7 February 1990
Veterans Compensation Cost-of-Living Adjustment Act of 1990 - Title I: Compensation - Directs the Secretary of Veterans Affairs to increase the rates of, and limitations on, Department of Veterans Affairs disability compensation and dependency and indemnity compensation to coincide with benefit increases under title II (Old Age, Survivors and Disability Insurance) of the Social Security Act. Requires such rate increases to be published in the Federal Register. Extends the presumption of service-connection, for purposes of eligibility for veterans' disability compensation, to cover members of the reserves who participated in a radiation-risk activity while serving on active duty for training or inactive duty for training. Title II: Health Care - Extends through FY 1991 a pilot program under the Veterans' Benefits and Services Act of 1988 for the provision of mobile health-care clinics for the treatment of veterans residing at least 100 miles from a Department of Veterans Affairs treatment facility. Increases the maximum limitations for the provision of certain home health services to disabled veterans. Title III: Insurance - Makes totally disabled veterans qualifying for a waiver of the premium for service disabled veterans' insurance eligible for supplemental service disabled veterans' insurance for totally disabled veterans. Increases from $40,000 to $90,000 the initial amount of Veterans' Mortgage Life Insurance available to certain veterans granted assistance in securing suitable housing. Title IV: Miscellaneous - Extends through 1993 the period in which a veteran of the Vietnam era will be considered as such for purposes of eligibility for job training, counseling, and placement services. Expands the current authority of the Secretary to acquire and provide housing for homeless veterans in order to allow acquisitions to provide transitional housing for veterans recovering from substance abuse or mental illness disabilities. Extends such program through 1993. Establishes in the Treasury the Transitional Housing Fund for the provision of housing and loans to assist veterans in recovering from alcohol or drug dependence or abuse disabilities. Outlines loan conditions and conditions for veterans residing in housing provided. Requires the Secretary to issue guidelines for the operation of such residences. Makes permanent (current law terminates on March 1, 1991) the requirement that the Department provide information and counseling about the effects and alternatives to foreclosure to veterans who default on Department-guaranteed home loans.
United States · United States Congress · 7 February 1990
Home Dialysis Equity Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover erythropoietin for home dialysis patients competent to use such drug without supervision.