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Bill· HRH.R. 4702 (106th)referred
United States · United States Congress · 20 June 2000
Rural Mental Health Relief Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to establish Medicare-dependent psychiatric units that are a distinct part of a hospital located in a rural area as a separate class of hospitals for which the current payment rate for other psychiatric units under the prospective payment system for inpatient hospital services is applicable. Makes this Act effective as if included in the enactment of the Balanced Budget Act of 1997.
Bill· SS. 2753 (106th)open
United States · United States Congress · 19 June 2000
See summary of: S. 2541
Bill· HRH.R. 4690 (106th)open
United States · United States Congress · 19 June 2000
Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2001 - Makes appropriations for FY 2001 for the Departments of Commerce, Justice, and State, the judiciary, and related agencies. Title I: Department of Justice - Department of Justice Appropriations Act, 2001 - Makes appropriations for the Department of Justice for: (1) general administration; (2) a Joint Automated Booking System; (3) conversion to narrowband communications; (4) counterterrorism activities; (5) payments of costs of telecommunications carriers in complying with capability requirements; (6) administration of pardon and clemency petitions and immigration-related activities; (7) establishment of a Federal Detention Trustee to exercise functions relating to the detention of Federal prisoners in non- Federal institutions or those in the custody of the U.S. Marshals Service and detention of aliens in the custody of the Immigration and Naturalization Service (INS); (8) the Office of Inspector General; (9) the U.S. Parole Commission; (10) legal activities; (11) antitrust activities; (12) the Offices of U.S. Attorneys; (13) the U.S. Trustee Program; (14) the Foreign Claims Settlement Commission; (15) the U.S. Marshals Service, including amounts for Federal prisoner detention; (16) fees and expenses of witnesses; (17) the Community Relations Service; (18) certain uses of the Assets Forfeiture Fund; (19) administrative expenses related to the Radiation Exposure Compensation Act; (20) the Radiation Exposure Compensation Trust Fund; (21) interagency law enforcement with respect to organized crime drug trafficking; (22) the Federal Bureau of Investigation; (23) construction for specified agencies; (24) the Drug Enforcement Administration; (25) the INS; (26) the Federal prison system, including an amount for buildings and facilities; (27) Office of Justice programs; (28) State and local law enforcement assistance; (29) the Executive Office for Weed and Seed; (30) community oriented policing services; (31) juvenile justice programs; and (32) public safety officers' benefits. Sets forth authorized uses of, and limitations on, such funds. (Sec. 103) Prohibits the use of funds appropriated by this title to: (1) pay for abortions except where the life of the mother would be endangered if the fetus were carried to term, or in the case of rape; or (2) require any person to perform or facilitate an abortion. (Sec. 109) Makes a provision of the Emergency Supplemental Appropriations Act, 1999 relating to grants for assistance to the victims of Pan Am Flight 103 applicable for FY 2001. (Sec. 110) Applies certain provisions of law that authorize the Department of Justice, in litigation involving unusually high costs, to receive and retain reimbursement for salaries and expenses from any other governmental component being represented in the legislation only to litigation in which the United States (or a U.S. agency or officer) is a defendant. (Sec. 111) Makes a certain provision of the Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000 that prohibits the use of funds by any Act to pay premium pay to any Department of Justice attorney applicable to FY 2001 as well. (Sec. 112) Amends the Immigration and Nationality Act to establish the Genealogy Fee for providing genealogy research and information services. Provides for deposit of the fee as offsetting collections in the Examinations Fee Account. Requires INS employees to collect fees before disseminating any requested genealogical information. Authorizes the Attorney General to establish and collect a premium fee for employment-based petitions and applications. Requires the fee to be used to provide certain premium-processing services to business customers and to make infrastructure improvements in the adjudications and customer-service processes. Provides for deposit of the fee as offsetting collections in the Immigration Examinations Fee Account. (Sec. 113) Prohibits the Attorney General, during the current fiscal year, from certifying any amount for appropriation to the Health Care Fraud and Abuse Control Account (established under title XVIII (Medicare) of the Social Security Act) for any purpose of the Department of Justice without advance notification of the Appropriations Committees. Title II: Department of Commerce and Related Agencies - Department of Commerce and Related Agencies Appropriations Act, 2001 - Makes appropriations for the Department of Commerce for: (1) the Office of the U.S. Trade Representative; (2) the International Trade Commission; (3) the International Trade Administration; (4) export administration and national security activities; (5) the Economic Development Administration; (6) minority business development; (7) economic and statistical analysis programs; (8) the Census Bureau; (9) the National Telecommunications and Information Administration; (10) public telecommunications facilities planning and construction grants; (11) information infrastructure grants; (12) the Patent and Trademark Office; (13) the Under Secretary for Technology-Office of Technology Policy; (14) the National Institute of Standards and Technology, including amounts for the Manufacturing Extension Partnership and for construction of new research facilities; (15) the National Oceanic and Atmospheric Administration, including amounts for procurement, acquisition, and construction of capital assets; (16) restoration of Pacific salmon populations; (17) the Coastal Zone Management Fund; (18) the Fishermen's Contingency Fund; (19) the Foreign Fishing Observer Fund; (20) the fisheries finance program account; (21) general administration; and (22) the Office of Inspector General. Sets forth authorized uses of, and limitations on, such funds. Title III: The Judiciary - Judiciary Appropriations Act, 2001 - Makes appropriations for: (1) the Supreme Court, including an amount for care of the building and grounds; (2) the U.S. Court of Appeals for the Federal Circuit; (3) the U.S. Court of International Trade; (4) the courts of appeals, district courts, and other judicial services; (5) defender services; (6) fees of jurors and commissioners; (7) court security; (8) the Administrative Office of the U.S. Courts; (9) the Federal Judicial Center; (10) judicial retirement funds; and (11) the U.S. Sentencing Commission. Sets forth authorized uses of, and limitations on, such funds. (Sec. 304) Authorizes the Director of the Administrative Office of the U.S. Courts to designate judicial branch officers and employees to be disbursing officers and to certify payment requests from appropriations and funds. Sets forth provisions regarding liability of such officers and employees. Title IV: Department of State and Related Agency - Department of State and Related Agency Appropriations Act, 2001 - Makes appropriations for the Department of State for: (1) administration of foreign affairs, diplomatic and consular programs; (2) the Capital Investment Fund; (3) the Office of Inspector General; (4) educational and cultural exchange programs; (5) representation allowances; (6) protection of foreign missions and officials; (7) embassy security, construction, and maintenance; (8) emergencies in the diplomatic and consular service; (9) the repatriation loans program account; (10) the American Institute in Taiwan; (11) the Foreign Service Retirement and Disability Fund; (12) international organizations, conferences, peacekeeping, and commissions; (13) the Asia Foundation; (14) the Eisenhower Exchange Fellowships, Incorporated; (15) the Israeli Arab Scholarship Program; and (16) the National Endowment for Democracy. Makes appropriations for the Broadcasting Board of Governors for international broadcasting operations and capital improvements. Sets forth authorized uses of, and limitations on funds appropriated under this title. (Sec. 403) Provides that there shall be up to 71 Deputy Assistant Secretaries of State in the Department of State. (Sec. 404) Bars the use of funds made available in this Act by the Department of State or the Broadcasting Board of Governors to provide assistance to the Palestinian Broadcasting Corporation. (Sec. 405) Amends the State Department Basic Authorities Act of 1956 to require the Deputy Secretary of State for Management and Resources to be appointed by the President. Makes such Deputy Secretary a Level II Executive Schedule position. Title V: Related Agencies - Makes appropriations for the: (1) Maritime Administration for maritime security, operations and training, and the maritime guaranteed loan program; (2) Commission for the Preservation of America's Heritage Abroad; (3) Commission on Civil Rights; (4) Commission on Security and Cooperation in Europe; (5) Equal Employment Opportunity Commission (EEOC); (6) Federal Communications Commission; (7) Federal Maritime Commission; (8) Federal Trade Commission; (9) Legal Services Corporation; (10) Marine Mammal Commission; (11) Securities and Exchange Commission; (12) Small Business Administration, including amounts for the Office of Inspector General and business and disaster loans; and (13) State Justice Institute. Sets forth authorized uses of, and limitations on, such funds. Title VI: General Provisions - Sets forth limitations on the use of funds under this Act. (Sec. 607) Sets forth Buy American provisions. (Sec. 608) Prohibits the use of funds made available by this Act to: (1) enforce any EEOC guidelines covering harassment based on religion if such guidelines do not differ from proposed guidelines of October 1, 1993; (2) pay for costs incurred in operating certain diplomatic or consular posts in Vietnam or increasing the number of personnel assigned to such posts until the President makes a specified certification; or (3) provide specified personal comforts in the Federal prison system. (Sec. 609) Prohibits the use of funds made available by this Act for any United Nations undertaking if: (1) such undertaking is a peacekeeping mission and will involve U.S. armed forces under the control of a foreign national; and (2) the President's military advisors have not submitted a recommendation that such involvement is in the national security interest and the President has not submitted such recommendation to Congress. (Sec. 611) Makes earmarks, limitations, or minimum funding requirements contained in any other Act inapplicable to funds appropriated under this Act. (Sec. 617) Makes funds provided by this Act unavailable to promote the sale or export of tobacco or tobacco products or to seek the reduction or removal by any foreign country of restrictions on the marketing of such products, except for restrictions which are not applied equally to products of the same type. (Sec. 618) Bars funds appropriated under any law from being used for: (1) the implementation of any tax or fee in connection with any criminal background check system that implements requirements under the Federal criminal code in connection with certain restrictions on the transfer of firearms; and (2) any such system that does not result in the destruction of information submitted by persons determined not to be prohibited from owning a firearm. (Sec. 621) Bars the use of funds appropriated in this Act for purposes of processing or granting immigrant or nonimmigrant visas to residents of countries that the Attorney General has determined deny or unreasonably delay accepting the return of certain deportable aliens. (Sec. 622) Prohibits the use of funds made available to the Department of Justice in this Act for transporting any maximum or high security prisoner to any prison other than one certified by the Federal Bureau of Prisons as appropriately secure. (Sec. 623) Prohibits the use of funds appropriated by this Act to propose or issue rules or orders for implementing the Kyoto Protocol. Title VII: Rescission - Rescinds a specified amount appropriated to the Maritime Administration for the maritime guaranteed loan program account.
Bill· SS. 2733 (106th)open
United States · United States Congress · 15 June 2000
Affordable Housing for Seniors and Families Act - Title I: Refinancing for Section 202 Supportive Housing for the Elderly - Directs the Secretary of Housing and Urban Development, respecting projects assisted under section 202 (supportive housing for the elderly) of the Housing Act of 1959, to: (1) approve prepayment of indebtedness, including refinancing under specified conditions, provided the project sponsor continues to operate the project on terms at least as advantageous to tenants as required under the original agreement; and (2) upon refinancing, use at least 50 percent of the resultant savings in a manner that is advantageous to the tenants. Title II: Authorization of Appropriations for Supportive Housing for the Elderly and Persons With Disabilities - Amends the Housing Act of 1959 to authorize appropriations for supportive housing for the elderly. (Sec. 202) Amends the Cranston-Gonzalez National Affordable Housing Act to authorize appropriations for supportive housing for persons with disabilities. (Sec. 203) Authorizes appropriations for: (1) grants for service coordinators for elderly and disabled residents of certain federally assisted multifamily housing; and (2) contracts for congregate services for certain federally assisted housing. Title III: Expanding Public Housing Opportunities for the Elderly and Persons with Disabilities - Subtitle A: Housing for the Elderly - Amends the Housing Act of 1959, with respect to supportive services for the elderly, to establish a matching capital grant program. Provides for certain numbers of tenants who are elderly but not very low-income persons. (Sec. 302) Makes for-profit limited partnerships eligible program participants. (Sec. 303) Permits owners to use mixed funding sources for amenities and other design features. (Sec. 304) Expands acquisition authority. (Sec. 305) Authorizes low-income eligibility in supportive housing projects with high vacancy rates. (Sec. 306) Authorizes project reserves to be used to reduce the number of dwelling units by retrofitting unmarketable units. (Sec. 307) States that no provision of law shall be construed to prohibit commercial operations in a project location that benefits project residents. (Sec. 308) Directs the Secretary to carry out a pilot program for up to five projects to determine the effectiveness and feasibility of providing section 202 assistance for housing projects that are both for supportive services for the elderly and for other types of housing, including market rate housing. (Sec. 309) Amends the Housing Act of 1959 to authorize the Secretary to make grants for capital repairs of elderly housing projects or their conversion to assisted living facilities. Authorizes appropriations. (Sec. 310) Amends the United States Housing Act of 1937 to authorize the Secretary to make grants to public housing agencies for conversion of public housing for the elderly to assisted living facilities. Authorizes appropriations. (Sec. 311) Directs the Secretary to make an annual inventory of HUD and federally-assisted housing designated for elderly and disabled families. (Sec. 312) Directs the Secretary, in the case of denial of section 202 assistance for failure to provide timely information, to notify and provide opportunity for the applicant to show third party fault. Subtitle B: Housing for Persons with Disabilities - Amends the Cranston-Gonzalez National Affordable Housing Act with respect to supportive housing for persons with disabilities to include among assistance forms a capital advance matching grants program. Provides for certain numbers of tenants who are disabled but not very low-income persons. (Sec. 322) Amends the Housing Act of 1959 to make certain for-profit limited partnerships eligible recipients under the supportive housing for persons with disabilities program. (Sec. 323) Amends the Cranston-Gonzalez National Affordable Housing Act with respect to the supportive housing for persons with disabilities program to permit owners to use mixed funding sources for amenities and other design features. (Sec. 324) Provides that limited tenant-based assistance may be provided through a qualifying public housing agency or a private nonprofit organization. (Sec. 325) Authorizes project reserves to be used to reduce the number of dwelling units by retrofitting unmarketable units. (Sec. 326) States that no provision of law shall be construed to prohibit commercial operations in a project location that benefits project residents. Subtitle C: Other Provisions - Amends the Housing and Community Development Act of 1992 to permit service coordinator services to be provided to low-income or elderly persons living in the vicinity of specified federally assisted housing. Includes telemarketing fraud protection among the services provided to elderly residents of federally assisted housing and under the supportive housing program. Title IV: Preservation of Affordable Housing Stock - Directs the Secretary to make grants to States and localities for low-income housing preservation and promotion. Title V: Mortgage Insurance for Health Care Facilities and Home Equity Conversion Mortgages - Amends the National Housing Act to authorize mortgage insurance for debt refinancing of existing health care facilities. Permits hospital, home, or facility refinancing to prepay a loan that is within five years of maturity. Permits use of refinancing proceeds for related maintenance and equipment. (Sec. 502) Includes within the definition of "assisted living facility" certain unlicenced facilities. Defines "integrated service facility." (Sec. 503) Revises hospital mortgage insurance provisions. (Sec. 504) Authorizes the Secretary to insure refinancing of home equity conversion mortgages.
Bill· SS. 2743 (106th)referred
United States · United States Congress · 15 June 2000
Voluntary Error Reduction and Improvement in Patient Safety Act - Establishes within the Agency for Healthcare Research and Quality the Center for Quality Improvement and Patient Safety to promote patient safety through the establishment of a patient safety information infrastructure and evidence base. Requires the: (1) Center to serve as a central, publicly accessible clearinghouse for patient safety information; and (2) Agency Director to establish a formal process to gather information on priorities, methodologies, and approaches for medical errors and patient safety research. Requires the Director to establish a: (1) National Patient Safety Reporting System, allowing any individual or entity to report an adverse patient safety event; and (2) National Patient Safety Surveillance System, allowing health care organizations to submit reports of adverse patient safety events, event analyses, and corrective actions taken. Requires the confidentiality of information gathered through either System. Requires the Director to establish Centers of Patient Safety Improvement to conduct research on medical errors and interventions or strategies to reduce such errors. Prohibits a health care organization from discharging or otherwise discriminating against a worker providing information to either of the Systems or disclosing patient care information to an appropriate regulatory agency, accrediting body, or organization management personnel. Provides for enforcement through the Secretary of Labor. Requires the Secretary of Health and Human Services to develop and implement within the Department of Health and Human Services a medical care best-practices process. Requires the Director of the Office of Personnel Management to develop: (1) a process for determining which best practices to apply to the Federal Employees Health Benefits Program; and (2) measures to rate Program plans on patient safety improvement activities.
Bill· SS. 2735 (106th)referred
United States · United States Congress · 15 June 2000
Health Care Access and Rural Equality Act of 2000 - Title I: Increase in Market Basket Percentage Adjustment for Rural Hospitals - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for an increase in the market basket percentage adjustment for rural hospitals. Title II: Capital Relief for Rural Health Care Infrastructure - Amends part A (Determination of Benefits) of SSA title XVI (Supplemental Security Income) (SSI) to establish a Capital Infrastructure Revolving Loan Program under which the Secretary of Health and Human Services may make loans up to a specified amount from the loan and loan guarantee fund to any rural entity for projects for capital improvements. Title III: Refinement of the Medicare Dependent, Small Rural Hospital Program - Amends SSA title XVIII to make the Medicare-dependent, small rural hospital program permanent and to give any hospital under such program the option of basing eligibility for payment on discharges during any of the three most recent audited cost reporting periods in lieu of the current basing of eligibility for payment on discharges during the cost reporting period beginning in FY 1987. Title IV: Exemption for Medicare Swing Bed Hospitals - Amends SSA title XVIII to exempt Medicare swing bed hospitals from the prospective payment system for skilled nursing facilities. Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to make January 1, 2001, the effective date of the elimination of certain restrictions with respect to the hospital swing bed program. Title V: Treatment of Physician Pathology Services - Provides for the treatment of certain physician pathology services under Medicare. Title VI: Technical Corrections to the Balanced Budget Refinement Act - Amends SSA title XVIII with regard to: (1) payments to critical access hospitals for clinical diagnostic laboratory tests; (2) the all-inclusive payment option for outpatient critical access hospital services; and (3) the option to use rebased target amounts to all sole community hospitals. Makes technical corrections to the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 with regard to clinical diagnostic laboratory services furnished by a critical access hospital and other specified matters. Amends Medicare part B (Supplementary Medical Insurance) to authorize the Secretary to make grants of up to a specified amount to applicant hospitals to assist eligible small rural hospitals in meeting the costs of establish data systems required to meet requirements established under Medicare pursuant to the Balanced Budget Act of 1997 and the Health Insurance Portability and Accountability Act of 1996. Authorizes appropriations.
Bill· SS. 2738 (106th)referred
United States · United States Congress · 15 June 2000
Patient Safety and Errors Reduction Act - Amends the Public Health Service Act to require the Director of the Agency for Healthcare Research and Quality to: (1) support research, evaluations and training, and demonstration projects, provide technical assistance, and support partnerships to determine the causes of medical errors and other threats to the quality and safety of patient care; (2) identify and evaluate interventions and strategies for preventing or reducing such errors and threats; (3) develop reporting requirements to provide consistency throughout the errors reporting system; (4) develop approaches for the clinical management of complications from such errors; and (5) establish mechanisms for the rapid dissemination of identified interventions and strategies for which there is scientific evidence of effectiveness. Requires the Director to establish a Center for Quality Improvement and Patient Safety to: (1) assist the Director in carrying out the preceding requirements; (2) provide national leadership for research and initiatives to improve the quality and safety of patient care; (3) develop public-private sector partnerships to improve such care; and (4) serve as a national resource for research and learning from medical errors. Specifies other Center duties. Requires the Director, to enhance the ability of the U.S. health care community to learn from medical errors and close calls, to take certain steps to increase scientific knowledge with respect to such errors and error reporting systems, including developing a confidential national safety database of medical errors reports to be known as the National Patient Safety Database. Permits reports of medical errors and close calls in the database to be used only for research to improve the quality and safety of patient care. Requires the Director to: (1) identify public and private sector patient safety reporting systems and build scientific knowledge regarding those systems and related topics; (2) support training initiatives to build the capacity of the U.S. health care community to analyze patient safety data and to act on such data to improve patient safety; and (3) recommend strategies for measuring and evaluating the national progress made in implementing safe practices identified by the Center and through a voluntary reporting system. Provides for certification of entities that collect and analyze information on medical errors and to collaborate with health care providers in collecting information about, or evaluating, certain medical events (certain adverse events or close calls, including those that involve death or injury, associated with the provision of health care). Requires such entities to report periodically to the Director. Provides for termination of certifications after three years, with renewals at the Director's discretion. Sets forth system requirements for providers of health services that elect to participate in a medical error reporting system. Prescribes confidentiality requirements for information regarding medical events collected pursuant to this Act. Authorizes appropriations.
Bill· HRH.R. 4680 (106th)open
United States · United States Congress · 15 June 2000
Medicare Rx 2000 Act - Title I: Medicare Prescription Drug Benefit - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Voluntary Prescription Drug Benefit Program) to entitle each individual enrolled under Medicare part B (Supplementary Medical Insurance) to obtain qualified prescription drug coverage as outlined. Sets forth general election procedures. (Sec. 101) Prohibits an individual eligible to elect qualified prescription drug coverage under a prescription drug plan or under a Medicare+Choice (Medicare part C) plan from being denied enrollment based on any health status-related factor under the Public Health Service Act or under any other factor. Extends the same prohibition to the case of an individual who maintains continuous prescription drug coverage since first qualifying to elect it, and includes any limitation or conditioning of coverage, or any increased premium based on any such health status-related factor. Allows a prescription drug plan (PDP) sponsor or Medicare+Choice organization, in the case of an individual who does not maintain such continuous prescription drug coverage, to increase the otherwise applicable premium, or to impose a pre-existing condition exclusion, with respect to qualified prescription drug coverage in a manner that reflects additional actuarial risk involved. Sets forth requirements for qualified prescription drug coverage, standard coverage, and alternative coverage. Outlines requirements for access to negotiated prices, actuarial valuation and determination of annual percentage increases, and protections for individuals eligible to enroll under a qualified PDP, such as guaranteed issue and nondiscrimination. Sets out requirements for PDP sponsors as well as financial solvency and capital adequacy standards for non-licensed PDP sponsors. Directs the Medicare Benefits Administrator by regulation to establish other standards for PDP sponsors and plans. Directs the Medicare Benefits Administrator to: (1) establish a process for the selection of the prescription drug plan or Medicare+Choice plan which offers qualified prescription drug coverage; and (2) assure that each individual enrolled under part B has available a choice of enrollment in at least two qualifying plans in the area in which the individual resides, at least one of which is a prescription drug plan. Outlines premium requirements, including those governing submission of premium-related information to the Medicare Benefits Administrator for approval or disapproval, premium rates in the same service area, terms and conditions for imposing premiums, and premium and cost-sharing subsidies for low-income individuals and for Medicare beneficiaries. Creates within the Federal Supplementary Medical Insurance Trust Fund under Medicare part B (Supplementary Medical Insurance) the Medicare Prescription Drug Account for subsidy-related and other payments under new part D. Authorizes appropriations. (Sec. 102) Amends SSA title XVIII part C to provide for prescription drug benefits by Medicare+Choice organizations, including premium and cost-sharing subsidies for low-income enrollees, and reinsurance subsidy payments for Medicare+Choice organizations. (Sec. 103) Amends SSA title XIX (Medicaid) to: (1) require State Medicaid plans to provide for making eligibility determinations for premium and cost-sharing subsidies with regard to the Medicare prescription drug benefit for low-income Medicare beneficiaries; (2) provide for phased-in Federal assumption of Medicaid prescription drug costs for dually-eligible Medicare and Medicaid beneficiaries; (3) require continued Medicaid payment for such an individual to the extent payment is not made under the PDP or the Medicare+Choice plan selected by the individual; and (5) provide for Medicaid prescription drug coverage by territories. (Sec. 104) Prescribes conditions and limitations for prescription drug coverage by new Medicare supplemental (Medigap) policies. Title II: Modernization of Administration of Medicare - Subtitle A: Medicare Benefits Administration - Amends SSA title XVIII to establish within the Department of Health and Human Services the Medicare Benefits Administration, headed by an Administrator charged with carrying out Medicare parts C and D. (Sec. 201) Directs the Secretary to establish within the Medicare Benefits Administration an Office of Beneficiary Assistance to carry out functions relating to Medicare beneficiaries, including benefit eligibility determinations and dissemination of information on benefits and appeals rights. Establishes within the Office a Medicare Ombudsman to: (1) receive complaints, grievances, and requests for information submitted by a Medicare beneficiary concerning any aspect of the Medicare program; (2) provide assistance with respect to such complaints, grievances, and requests; and (3) coordinate with State medical Ombudsman programs, and with State and community-based consumer organizations, to provide information and conduct outreach to educate Medicare beneficiaries with respect to the manner for resolving or avoiding Medicare problems. Establishes within the Medicare Benefits Administration the Medicare Policy Advisory Board. Authorizes appropriations. Subtitle B: Oversight of Financial Sustainability of the Medicare Program - Amends SSA title XVIII part A (Hospital Insurance) with regard to the Federal Hospital Insurance Trust Fund to require its Board of Trustees to report to Congress on the operation and status of such Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, including the total amounts obligated during the preceding fiscal year from the General Revenues of the Treasury to the Trust Funds for Medicare payments and ten-year and 50-year projections of such required benefit obligations. (Sec. 211) Expresses the sense of Congress that the committees of jurisdiction shall hold hearings on such reports. Subtitle C: Changes in Medicare Coverage and Appeals Process - Amends Medicare part D to revise the Medicare appeals process with respect to: (1) a time limit for appeals; (2) expedited reconsideration of an initial determination; (3) local coverage determinations; (4) Internet publication of hearing decisions by the Secretary; and (5) conduct of reconsiderations by independent contractors. (Sec. 222) Limits the liability of an individual for repayment of claims incorrectly paid by the Secretary. Prescribes a procedure for waiver of such liability protection and the individual's right to an appeal. Requires inclusion in the explanation of Medicare benefits of beneficiary liability information, including a specified toll-free telephone number. (Sec. 223) Amends SSA title XI with respect to civil money penalties for improperly filed claims, including offers or transfers of remuneration to influence a beneficiary's choice of provider, practitioner, or item or service supplier. Revises the exclusion from the meaning of remuneration of any waiver of coinsurance and deductible amounts to: (1) make the current conditions for such an exclusion alternative instead of collectively necessary; and (2) add as a new alternative condition for exclusion that such a waiver is offered as a part of a supplemental insurance policy or retiree health plan. (Sec. 224) Amends SSA title D to repeal the Secretary's authority to review, reverse, affirm, or modify decisions of the Provider Reimbursement Review Board. Title III: Medicare+Choice Reforms; Preservation of Medicare Part B Drug Benefit - Subtitle A: Medicare+Choice Reforms - Amends Medicare part C with respect to Federal payments to Medicare+Choice organizations to: (1) reduce the national per capita Medicare+Choice growth percentages for 2001 and 2002; (2) remove application of the budget neutrality factor beginning in 2002 with respect to calculation of both the blended and the national standardized annual Medicare+Choice capitation rates; (3) specify $450 as the minimum payment amount for 2002; (4) allow a Medicare+Choice organization to elect to apply an area-specific percentage of 50 percent and a national percentage of 50 percent for 2002 (currently, only after 2002); (5) increase from 102 percent to 102.5 percent the minimum percentage increase for Medicare+Choice payment areas with only one, or no, Medicare+Choice contracts entered into as of July 1 before the beginning of the year during 2002 through 2005; (6) permit higher annual rates through negotiation between an Medicare+Choice organization and the Medicare Benefits Administration for each year beginning with 2004 in Medicare+Choice payment areas for which the Medicare+Choice capitation rate would otherwise be less than the U.S. per capita cost; and (7) phase-in over a ten-year period beginning in 2004 a risk adjustment methodology based on data from all settings. Subtitle B: Preservation of Medicare Coverage of Drugs and Biologicals - Amends SSA title XVIII part D (Miscellaneous Provisions) with regard to coverage of drugs and biologicals under Medicare part B to modify the specification of drugs and biologicals which cannot be self-administered to drugs and biologicals which are not usually self-administered by the patient.
Bill· HRH.R. 4677 (106th)referred
United States · United States Congress · 15 June 2000
Health Care Access and Rural Equality Act of 2000 - Title I: Increase in Market Basket Percentage Adjustment for Rural Hospitals - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for an increase in the market basket percentage adjustment for rural hospitals. Title II: Capital Relief for Rural Health Care Infrastructure - Amends part A (Determination of Benefits) of SSA title XVI (Supplemental Security Income) (SSI) to establish a Capital Infrastructure Revolving Loan Program under which the Secretary of Health and Human Services may make loans up to a specified amount from the loan and loan guarantee fund to any rural entity for projects for capital improvements. Title III: Refinement of the Medicare Dependent, Small Rural Hospital Program - Amends SSA title XVIII to make the Medicare-dependent, small rural hospital program permanent and to give any hospital under such program the option of basing eligibility for payment on discharges during any of the three most recent audited cost reporting periods in lieu of the current basing of eligibility for payment on discharges during the cost reporting period beginning in FY 1987. Title IV: Exemption for Medicare Swing Bed Hospitals - Amends SSA title XVIII to exempt Medicare swing bed hospitals from the prospective payment system for skilled nursing facilities. Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to make January 1, 2001, the effective date of the elimination of certain restrictions with respect to the hospital swing bed program. Title V: Treatment of Physician Pathology Services - Provides for the treatment of certain physician pathology services under Medicare. Title VI: Medicaid Payment Correction for Certain Rural Health Clinics - Prohibits a State plan approved under SSA title XIX (Medicaid) from recouping or denying certain alleged plan overpayments for rural health clinic services furnished on or after January 1, 1998, and before October 1, 2000. Prohibits the Secretary from withholding, suspending, disallowing, or denying Federal financial participation under Medicaid with respect to such overpayments. Requires the State or the Secretary, as the case may be, to pay to the rural health clinic or the State, as the case may be, any amounts recouped, denied, withheld, suspended, or disallowed. Title VII: Technical Corrections to the Balanced Budget Refinement Act - Amends SSA title XVIII with regard to: (1) payments to critical access hospitals for clinical diagnostic laboratory tests; (2) the all-inclusive payment option for outpatient critical access hospital services; and (3) the option to use rebased target amounts to all sole community hospitals. Makes technical corrections to the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 with regard to clinical diagnostic laboratory services furnished by a critical access hospital and other specified matters. Amends Medicare part B (Supplementary Medical Insurance) to authorize the Secretary to make grants of up to a specified amount to applicant hospitals to assist eligible small rural hospitals in meeting the costs of establish data systems required to meet requirements established under Medicare pursuant to the Balanced Budget Act of 1997 and the Health Insurance Portability and Accountability Act of 1996. Authorizes appropriations.
Bill· HRH.R. 4684 (106th)referred
United States · United States Congress · 15 June 2000
Veterans Medicare Reimbursement Demonstration Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to authorize the Secretaries of Health and Human Services (HHS) and of Veterans Affairs (VA) to establish a demonstration project under which the HHS Secretary, acting under a coordinated care health plan model, shall reimburse the VA Secretary from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund for Medicare health care services furnished to targeted Medicare-eligible veterans who volunteer for such project. Requires the demonstration project to be conducted at up to eight sites jointly designated by the Secretaries. Directs the VA Secretary to establish and operate coordinated care health plans to provide benefits to the targeted veterans enrolled in the project. Increases from 45 percent to 51 percent the amount that may be reduced, for cost reporting periods after FY 2000, from the amount of Medicare enrollee bad debt that is otherwise treated as allowable costs for purposes of determining the reasonable costs of Medicare-reimbursable outpatient hospital services furnished to Medicare enrollees.
Bill· SS. 2731 (106th)open
United States · United States Congress · 14 June 2000
Public Health Threats and Emergencies Act - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, upon determining that a disease or disorder presents a public health emergency or that a public health emergency otherwise exists, to take appropriate action to respond, including conducting and supporting investigations into the cause, treatment, or prevention of the disease or disorder. Establishes the Public Health Emergency Fund to support such activities. Requires the Secretary to: (1) establish reasonable capacities appropriate for national, State, and local public health systems and their work forces to detect and respond effectively to significant public health threats; (2) award grants to determine the extent to which States or local public health agencies can achieve such capacities; and (3) award grants to address core public health capacity needs. Authorizes appropriations for FY 2001 through 2010 for the Centers for Disease Control and Prevention for defending and combating public health threats of the 21st century. Directs the Secretary to establish: (1) an Antimicrobial Resistance Task Force to coordinate Federal programs relating to antimicrobial resistance; and (2) a joint interdepartmental working group on preparedness and readiness for the medical and public health effects of a bioterrorist attack. Requires: (1) research and development of new antimicrobial drugs and diagnostics; (2) educational programs for medical and health personnel in the use of antibiotics; and (3) grants to establish demonstration programs promoting the judicious use of antimicrobial drugs and the control of the spread of antimicrobial-resistant pathogens.
Bill· SS. 2727 (106th)referred
United States · United States Congress · 14 June 2000
Medicare Health Improvement Act of 2000 - Title I: HCFA Mission Statement - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act (SSA) to provide that in administering the Medicare program it is the mission of the Health Care Financing Administration (HCFA) to: (1) effectively and efficiently administer a program of health insurance coverage for individuals entitled to benefits under Medicare part A or enrolled under Medicare part B (Supplementary Medical Insurance), including individuals enrolled in a Medicare+Choice plan offered by a Medicare+Choice organization under Medicare part C (Medicare+Choice); (2) assure that health care provided to such individuals is of the highest quality; and (3) carry out programs in cooperation with other Government agencies and the private sector to promote health, prevent disease, and assure the highest possible functional level for such individuals. Title II: Enabling Older Americans and Persons with Disabilities to Improve Their Health Status - Amends SSA title XVIII to provide for the waiver of coinsurance and deductibles for specified preventive services. (Sec. 202) Directs the Secretary and the Commissioner of Social Security jointly to conduct an information campaign for individuals who have attained age 50 and individuals with disabilities to promote: (1) the use of preventive health services; (2) the proper use of prescription and over-the-counter drugs in order to reduce the number of hospital stays and physician visits among such individuals that result from improper use of such drugs; and (3) the steps that such individuals may take in order to promote and safeguard their health. Directs such officials to provide grants to, and enter into contracts with, eligible entities to assist with carrying out the purposes of this paragraph. (Sec. 203) Requires the Secretary to develop a health status self-assessment form that includes assessment of mental health status, alcohol use, and substance use, and assists Medicare beneficiaries in identifying important health information, risk factors, or significant symptoms that should be acted upon or discussed with the beneficiary's health care provider. Directs the Secretary to establish a training program for the staff of State health insurance assistance programs that will enable them to assist Medicare beneficiaries in completing the self-assessment form. Title III: Improving the Quality of Care Provided to Older Americans and Persons with Disabilities - Directs the Secretary to: (1) conduct a study to determine areas where treatment of Medicare beneficiaries falls short of the highest professional standards and to determine the best practices in such areas; and (2) provide for an information campaign to inform Medicare beneficiaries about the results of such study. (Sec. 302) Requires the Secretary to establish and report to Congress on a program to: (1) improve treatment of Medicare beneficiaries based on the results of such study and other relevant information; and (2) reduce the number of hospital stays and physician visits among Medicare beneficiaries that result from improper use of prescription and over-the-counter drugs. (Sec. 303) Directs the Secretary to conduct and report to Congress on a series of studies designed to identify preventive interventions that can be delivered in the primary care setting that are most valuable to older Americans. Amends the mission statement of the United States Preventive Services Task Force to include the evaluation of services that are of particular relevance to older Americans. (Sec. 304) Requires the Secretary to conduct and report to Congress on a demonstration project to: (1) evaluate the most successful and cost-effective means of providing smoking cessation services to Medicare beneficiaries; and (2) test incentive systems for physicians, other health care professionals, and Medicare beneficiaries to optimize rates of successful smoking cessation among such beneficiaries. Title IV: Demonstration Projects to Improve the Care of Residents of Skilled Nursing Facilities and Persons with Serious Illnesses - Directs the Secretary to conduct and report to Congress on demonstration projects designed to provide Medicare beneficiaries who are residents of skilled nursing facilities (SNFs) with higher quality and more cost-effective services in order to avoid unnecessary hospitalizations of such residents. (Sec. 402) Amends the Balanced Budget Act of 1997 to revise the Medicare coordinated care demonstration project to include fee-for-service program enrollees with a serious illness or a chronic illness. (Currently, only such enrollees with a chronic illness are covered.) Title V: White House Conference on Improving the Health of Older Americans - Directs the President to convene a White House Conference on Improving the Health of Older Americans.
Bill· SS. 2729 (106th)referred
United States · United States Congress · 14 June 2000
Combined Fund Stability and Fairness Act - Amends chapter 99 (Coal Industry Health Benefits) of the Internal Revenue Code and the Surface Mining Control and Reclamation Act of 1977 to redefine the term "coal wage agreement" to include only the 1988 agreement which became effective on February 1, 1988, and any predecessor to the 1988 agreement. Redefines the term "signatory operator" in a similar manner (as a 1988 operator). Provides for a reduction in health benefit premiums to coal miners if there is a surplus in the Combined Benefit Fund. Provides for the transfer of certain amounts of interest from the Abandoned Mine Reclamation Fund to the Combined Fund. Reduces Abandoned Mine Reclamation Fund fees. Extends the Abandoned Mine Reclamation Fee program for an additional six years. Authorizes appropriations for the transfer of $38 million from the 1950 United Mine Workers of America Pension Plan annually to the Combined Fund to cover any shortfall in the premium account of the Combined Fund.
Resolution· SCONRESS.Con.Res. 122 (106th)referred
United States · United States Congress · 14 June 2000
Recognizes the 60th anniversary of the U.S. nonrecognition policy of the Soviet takeover of the Baltic states and the contribution that policy made in supporting the aspirations of the people of Estonia, Latvia, and Lithuania to reassert their freedom and independence. Commends Estonia, Latvia, and Lithuania for the reestablishment of their independence and the role they played in the disintegration of the former Soviet Union in 1990 and 1991, and for their success in implementing political and economic reforms. Expresses support for regional cooperation in Northern Europe among the Baltic and Nordic states and the Russian Federation. Calls for further cooperation in addressing common environmental, law enforcement, and public health problems, and in promoting civil society and business and trade development, and similar efforts that promote a peaceful, democratic, prosperous, and secure future for Europe, Russia and the Nordic-Baltic region.
Bill· HRH.R. 4653 (106th)referred
United States · United States Congress · 14 June 2000
Men's Health Act of 2000 - Amends the Public Health Service Act to establish within the Department of Health and Human Services an office to be known as the Office of Men's Health.
Bill· HRH.R. 4666 (106th)referred
United States · United States Congress · 14 June 2000
Amends the Internal Revenue Code to allow a small tax-exempt bond issuer, the proceeds of the obligations of which are to be used to make or finance eligible loans for health care or educational purposes, to elect to apply specified current limitations on the amount of obligations by treating each borrower as the issuer of a separate issue.
Bill· SS. 2723 (106th)referred
United States · United States Congress · 13 June 2000
Amends the Clean Air Act to authorize a State Governor, upon notification of the Administrator of the Environmental Protection Agency, to waive oxygen content requirements for reformulated gasoline sold or dispensed in the State. Considers gasoline that complies with all other requirements for reformulated gasoline other than those regarding oxygen content to be reformulated gasoline. Makes oxygen content requirements inapplicable to gasoline sold or dispensed in States not subject to a prohibition on enforcement of certain State emission control standards. Requires the Administrator to promulgate regulations to ensure that the benefits of toxic air pollutant reductions under the reformulated gasoline program are maintained in States for which the oxygenate requirement is waived. Directs the Administrator, in promulgating such regulations, to: (1) develop designations for regions based on the extent and location of the U.S. gasoline distribution and supply network; and (2) use such designations to establish annual average performance standards for each region based on the existing phase II reformulated gasoline complex model and the annual reductions in toxic air pollutant emissions achieved in the region under the reformulated gasoline program during 1998 and 1999. Applies such standards to the manufacture of such gasoline sold in States for which the oxygenate requirement is waived, to the extent they are more stringent than those under existing law. (Sec. 2) Directs the Administrator to study and report to Congress on whether additional standards to prevent and control releases of methyl tertiary butyl ether (MTBE) from underground storage tanks are necessary. (Sec. 3) Authorizes the Administrator to control or prohibit the introduction into commerce or sale of any oxygenated fuel additive if it causes or contributes to air or water pollution that may be anticipated to endanger public health or welfare. (Sec. 4) Prohibits, for the fourth calendar year after this Act's enactment date and thereafter, the quantity of gasoline sold or introduced into commerce by a gasoline refiner, blender, or importer from containing on average more than one percent by volume MTBE and bars such individuals from selling or introducing into commerce any gasoline that contains more than an historical level by volume of MTBE as determined by the Administrator. Authorizes the Administrator to promulgate regulations to permit such individuals to sell and purchase authorizations to sell or introduce into commerce gasoline containing MTBE in excess of the one percent limitation. Requires the Administrator to ensure that the total quantity of gasoline sold or introduced into commerce during any calendar year by all such individuals contains on average not more than one percent MTBE. Permits States to submit State implementation plan revisions to the Administrator that provide for the reduction or elimination of the use of MTBE in gasoline in the State if the State Governor demonstrates that: (1) the reduction or elimination would not cause any significant disruption in the availability, supply, or price of gasoline in the State; (2) the reduction or elimination is necessary to protect public health or the environment; and (3) any alternative additive used will not present an equivalent or greater problem than that posed by the use of MTBE. Provides for technical assistance to States with facilities that produce MTBE to assist them in applying for, or modifying, permits as a result of provisions of this Act. (Sec. 5) Requires, in order to ensure an adequate fuel supply for all States, any regulation or modification of fuel properties promulgated or approved by the Administrator under this Act to take into consideration the need for reasonable schedules for carrying out necessary refinery investment projects and making modifications to fuel distribution systems. Directs the Administrator, in implementing and enforcing such regulations and modifications, to provide the fuel industry with the flexibility inherent in existing fuel regulations.
Bill· HRH.R. 4624 (106th)open
United States · United States Congress · 9 June 2000
High Need Hospital Medicare Rate Relief Act of 2000 - Provides targeted payment relief during FY 2001 and 2002 under the Medicare program of title XVIII of the Social Security Act for certain hospitals disproportionately impacted by the payment reductions under the Balanced Budget Act of 1997. Requires the Secretary of Health and Human Services to calculate payment amounts as if the applicable percentage increase for FY 2000 is the market basket percentage increase for such fiscal year without reduction.
Bill· HRH.R. 4623 (106th)referred
United States · United States Congress · 9 June 2000
Medicare Home Health Assistance Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise the calculation of base payment rates for the prospective payment system for home health services furnished under the Medicare program. Makes this Act effective as if included in the enactment of the Balanced Budget Act of 1997.
Bill· HRH.R. 4634 (106th)referred
United States · United States Congress · 9 June 2000
Women's Health Environmental Research Centers Act of 2000 - Amends the Public Health Service Act to require the National Institute of Environmental Health Sciences to make grants for the development and operation of not more than six centers to conduct multidisciplinary research on environmental factors that may be related to the development of women's health conditions. Requires each center to conduct basic and clinical research, develop training protocols, conduct training, develop model continuing education programs, and disseminate information to professionals and the public, with priority to prevention activities. Allows a center to use grant funds for stipends for health and allied health professionals in that training. Requires each center to: (1) collaborate with community organizations; and (2) use the facilities of a single institution or be formed from a consortium of institutions. Limits support to five years but allows extensions if recommended by a technical and scientific peer review group appointed by the Institute's director. Authorizes appropriations.
Bill· HRH.R. 4628 (106th)referred
United States · United States Congress · 9 June 2000
Medicare Coverage of Replacement Calcitriol Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of oral drugs used to treat low blood calcium levels or elevated parathyroid hormone levels for end stage renal disease patients.
Bill· HRH.R. 4622 (106th)referred
United States · United States Congress · 9 June 2000
Essential Hospital Preservation Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to revise provisions for payment to hospitals for inpatient hospital services to: (1) deem certain hospitals as essential hospitals necessary for the delivery of health care to all Medicare and other residents of the hospital referral region; (2) direct the Secretary of Health and Human Services (HHS) to increase all payments for all services provided under Medicare by such a deemed hospital; and (3) require each hospital receiving deemed status and increased payments under this Act to submit an economic recovery plan to HHS for long-range (post-deemed status) financial viability.
Bill· SS. 2708 (106th)referred
United States · United States Congress · 8 June 2000
Patients Before Paperwork Medicare Red Tape Reduction Act of 2000 - Establishes the Patients Before Paperwork Medicare Red Tape Commission to: (1) review existing paperwork burdens and related regulations under title XVIII (Medicare) of the Social Security Act, with the goal of reducing the paperwork burdens under the Medicare program; (2) analyze whether existing and proposed paperwork requirements and related regulations have proven benefits, including a positive health benefit for Medicare beneficiaries; (3) make recommendations regarding methods to streamline and simplify the coding method for items and services for which reimbursement is provided under Medicare; (4) make recommendations regarding the facilitation of electronic filing of Medicare claims for reimbursement and the elimination of paperwork of paperwork; (5) develop a standard form that will minimize any duplication of data and that relies on less paperwork than the current system; (6) determine the effect of Medicare paperwork requirements on relationships between doctors and patients; and (7) review and analyze other appropriate matters relating to paperwork reduction. Authorizes appropriations.
Bill· SS. 2700 (106th)open
United States · United States Congress · 8 June 2000
Brownfields Revitalization and Environmental Restoration Act of 2000 - Title I: Brownfields Revitalization Funding - Amends the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) to direct the Administrator of the Environmental Protection Agency to establish programs to provide grants to eligible entities (including local government units, redevelopment agencies, States, and Indian tribes) for: (1) inventorying, characterizing, assessing, and conducting planning related to brownfield sites; and (2) remediating brownfield sites through loans. Defines a "brownfield site," with exceptions, as real property, the expansion, redevelopment, or reuse of which is complicated by the presence or potential presence of a hazardous substance or pollutant. Includes within such definition a site contaminated by a controlled substance or mine-scarred land. Authorizes appropriations. Title II: Brownfields Liability Clarifications - Exempts from liability under CERCLA certain owners of real property contiguous to property on which there has been a hazardous substance release or threatened release that is not owned by such persons. (Sec. 202) Absolves from liability for response actions bona fide prospective purchasers to the extent liability at a facility for a release or threat thereof is based solely on ownership or operation of a facility. Gives a lien upon a facility to the United States for unrecovered response costs in any casefor which the owner is not liable by reason of this section and the facility's fair market value has increased above that which existed before the action was taken. (Sec. 203) Deems a person, with respect to defenses to liability of an owner of after-acquired property, to have undertaken appropriate inquiry into the property's previous ownership and uses if the person demonstrates that inquiries were undertaken in accordance with specified requirements (for property purchased after May 31, 1997, compliance with an American Society for Testing and Materials standard until standards are issued by the Administrator). Deems the appropriate inquiry requirements to be satisfied by a facility inspection and title search that reveal no basis for further investigation in the case of property for residential or similar use purchased by a nongovernmental or noncommercial entity. Title III: State Response Programs - Adds CERCLA provisions authorizing the Administrator to provide grants to States or Indian tribes to establish or enhance response programs comprised of elements including survey and inventory of brownfield sites, public participation opportunities, oversight and enforcement authorities, and certification mechanisms. Authorizes appropriations. Restricts authority to take enforcement actions under CERCLA in cases of hazardous substance releases addressed by a State response plan. Authorizes the President to bring enforcement actions in certain instances, including cases where a State requests assistance, there is migration of contamination across State lines or onto Federal property, or there is an imminent and substantial endangerment to public health or welfare or the environment and additional response actions are likely to be necessary. Makes restrictions on the President's authority to take such actions applicable only at sites in States that maintain, update at least annually, and make publicly available a record of sites at which response actions have been completed in the previous year and are planned to be addressed under the State response program in the upcoming year. Applies enforcement action requirements only to response actions conducted after June 8, 2000. (Sec. 302) Requires the President to defer final listing of an eligible response site on the National Priorities List if the State is conducting a response action in compliance with a State response program that will provide long-term health and environmental protection or is actively pursuing an agreement to perform such an action with a capable person. Requires reasonable progress toward completion of actions for deferral of listing. Permits the President to decline to defer, or discontinue a deferral if: (1) deferral would be inappropriate because the State, as an owner, operator, or significant contributor is a potentially responsible party; (2) the criteria under the National Contingency Plan for issuance of a health advisory have been met; or (3) the other conditions under this section for deferral are no longer being met.
Bill· SS. 2693 (106th)referred
United States · United States Congress · 8 June 2000
Alaska Medicaid Equity Act of 2000 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to set forth a formula to adjust the Federal medical assistance percentage determined for the State of Alaska (to reflect that State's cost of living) for use under the Medicaid and Children's Health Insurance (SSA title XXI) programs.
Bill· HRH.R. 4610 (106th)referred
United States · United States Congress · 8 June 2000
Wireless Phone Health Risk Assessment Act of 2000 - Authorizes appropriations to the Food and Drug Administration (FDA) to implement this Act. Requires the FDA to conduct an animal bioassay of radiofrequency emissions from wireless emissions from wireless telephones operating on a specified frequency range. Requires the study, as practicable, to be consistent with related global research needs as set forth by the International Electromagnetic Frequency Project (IEFP) of the World Health Organization. Directs the FDA Commissioner to designate a panel of scientific and industry experts to advise the FDA on the preparation, conduct, and evaluation of the study. Authorizes the use of funds under this Act for attendance of FDA personnel at meetings, including IEFP meetings.
Bill· HRH.R. 4607 (106th)referred
United States · United States Congress · 8 June 2000
Medicare Prescription Drug Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Prescription Drug Benefit for the Aged and Disabled) outlining the following program components: (1) establishment of a voluntary insurance program, administered by the Director of the Office of Personnel Management, to provide prescription drug benefits for individuals who are aged or disabled or have end-stage renal disease and who elect to enroll under such program, to be financed from enrollee premium payments together with contributions from Federal appropriations; (2) scope of benefits; (3) payment of benefits and benefit limits; (4) eligibility and enrollment; (5) monthly premium rates; (6) special eligibility, enrollment, and co-payments rules for low-income individuals; (7) creation within the Federal Supplemental Medical Insurance Trust Fund of the Prescription Drug Insurance Account for payments; (8) administration of benefits through benefit managers; (9) authorization for the Employer Incentive Program to encourage employers to provide adequate prescription drug benefits to retired individuals by subsidizing, in part, the sponsor's cost of providing coverage under qualifying plans; and (10) authorization of appropriations to the Account to cover Government contributions. Directs the Secretary to conduct a study on the feasibility and advisability of establishing an annual open enrollment period under the new part D program. Amends SSA title XIX (Medicaid) to: (1) provide for coverage for certain low-income individuals of part D premiums; (2) require State Medicaid plans to provide that in the case of any individual whose eligibility for medical assistance is not limited to Medicare or Medicare drug cost-sharing, and for whom the State elects to pay monthly premiums under part D, the State will purchase all prescription drugs, without regard to whether the benefit limit for such individual has been reached; and (3) require Government payment of Medicare drug cost-sharing for qualified Medicare beneficiaries and for Medicare-eligible individuals with incomes between 100 and 150 percent of the Federal poverty line. Directs the Medicare Payment Advisory Commission (MEDPAC) to study and report to Congress on: (1) the ability of benefit managers to improve quality and reduce costs and to assume risk; (2) strategies to improve risk assumption by such managers; (3) the likely effect of allowing benefit managers to vary aspects of the benefit packages based on costs, utilization, and access; and (4) the use of the stop-loss provision, including analysis of benefit manager data on beneficiary utilization and the effectiveness of cost constraints once the stop-loss is triggered.
Bill· HRH.R. 4605 (106th)referred
United States · United States Congress · 8 June 2000
Human Research Subject Protections Act of 2000 - Title I: Human Subject Protections - Amends the Public Health Service Act to apply the common rule and vulnerable-populations rules of subparts A and B through D, respectively, of part 46 of title 45, Code of Federal Regulations (CFR) (rules requiring informed consent, with an emphasis on certain vulnerable populations) to all human-subject research. Authorizes the Secretary of Health and Human Services to permit any Federal agency involved in such research to establish additional protections for human subjects. Requires the Secretary to promulgate regulations to enhance the protection of people with diminished decision making capacity with respect to their participation in clinical research. Title II: Informed Consent - Prohibits any investigator from involving a living human being in research unless such investigator has obtained the legally effective informed consent of such individual or his or her authorized representative. Title III: Institutional Review Boards - Prohibits such research from being conducted unless an accredited Institutional Review Board has approved the proposal for such research in light of the common rule and vulnerable-populations rules. Title IV: Federal Oversight - Establishes the Office for Protection of Research Subjects. Prohibits the Secretary from entering into research grants, cooperative agreements, or contracts unless the receiving entity or institution has a comprehensive and ongoing program to educate investigators and Board members on the protection of human subjects in research. Establishes the National Bioethics Advisory Commission to provide advice and recommendations on bioethical issues arising from the delivery of health care, research on human biology and behavior, and the applications of such research.
Bill· HRH.R. 4614 (106th)referred
United States · United States Congress · 8 June 2000
Nursing Staff Accountability and Training Improvement Act of 2000 - Title I: Information on Nursing Staff in Nursing Facilities - Amends title XVIII (Medicare) of the Social Security Act (SSA) to require a skilled nursing facility (SNF) to submit to the Secretary of Health and Human Services nursing staff level data for purposes of determining whether adjusted payment amounts for inadequate staffing should be made to the facility. Require SNF standard surveys to include a review of the sufficiency and distribution of staffing in the SNF to meet the needs of residents. (Sec. 101) Require a SNF to submit to the Secretary cost reports using a standard, uniform cost reporting form developed to enable the Secretary to: (1) assess amounts of direct patient care furnished by the SNF nursing staff; and (2) determine whether payments made for such care are appropriate. Amends SSA title XIX (Medicaid) to require a State to carry out periodic audits of cost reports submitted by a nursing facility operating in the State. Directs the Secretary to study the feasibility of developing and administering a standardized, uniform cost reporting form for all nursing facilities furnishing services for which Medicaid payment is made. Establishes similar survey requirements with regard to nursing staffing levels. (Sec. 102) Amends SSA titles XVIII and XIX with regard to information on nurse staffing, requiring the Secretary to provide for Internet publication of certain survey information on nursing staff levels. Mandates penalties for failure to post required information. (Sec. 103) Amends SSA title XVIII to direct the Secretary to pay expenses incurred in the administration of State agency determination of service provider compliance with conditions of Medicare participation from funds in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, in such amounts from each of such trust funds as the Secretary deems fair and equitable. (Sec. 104) Directs the Secretary to report to Congress on training of certified nurse aides. Title II: Grants to Improve Quality of Nursing Home and Long-Term Care - Directs the Secretary to award grants to a qualified entity to establish education and training programs for individuals who furnish direct resident care services in nursing facilities, including registered professional nurses, licensed practical nurses, and certified nurse aides. Authorizes grants to existing training programs. Authorizes appropriations. (Sec. 202) Requires the Secretary to award grants to qualified entities to provide for additional or advanced education and training of certified nursing aides who furnish services in the facility. Authorizes appropriations. (Sec. 203) Directs the Secretary to award grants to nursing facilities to establish programs to retain individuals who furnish direct resident care services in nursing facilities located in medically underserved areas, including registered professional nurses, licensed practical nurses, and certified nurse aides. Authorizes appropriations. (Sec. 204) Requires the Secretary to award grants to nursing facilities to establish model workplace safety programs. Authorizes appropriations. (Sec. 205) Directs the Secretary to provide for a demonstration project of grants to a limited number of States to implement innovative quality improvement models to improve the quality of care furnished to residents of nursing facilities. Authorizes appropriations.
Bill· HRH.R. 4606 (106th)referred
United States · United States Congress · 8 June 2000
WISEWOMAN Expansion Act of 2000- Amends the Public Health Service Act (PHSA) to permit the Secretary of Health and Human Services, through a competitive review process, to award grants to States to provide additional specified preventive health services, screenings, education, and referrals under PHSA provisions concerning preventive health measures with respect to breast and cervical cancers. Authorizes appropriations.
Bill· SS. 2692 (106th)referred
United States · United States Congress · 7 June 2000
Imported Products Safety Improvement and Disease Prevention Act of 2000 - Title I: Improvements to the Product Safety Import System - Amends the Federal Food, Drug, and Cosmetic Act (the Act) to require any product imported into the United States to be prepared, packaged, and held under a system or conditions, or subject to measures, that meet safety requirements of the Act or that have been determined by the Secretary of Health and Human Services to be the equivalent to such a system and to achieve the level of public health protection required for products prepared in the United States. Requires the Secretary to develop a system to deny the entry of any product not covered by such a system. Prohibits the distribution of any imported product which has not been authorized by the Secretary. Requires the secure storage or destruction of certain imported products. Prohibits: (1) port shopping of products which have been refused admission; and (2) imports by debarred persons. Title II: Enforcement and Penalties for Importing Contaminated Products - Provides for the enforcement of penalties for the importing of contaminated products, including: (1) increased bonding requirements for prior offenders; and (2) the debarment of repeat and serious offenders. Title III: Improvements to Public Health Infrastructure and Awareness - Authorizes the Secretary to: (1) make grants and provide technical assistance to eligible agencies to carry out activities relating to surveillance and prevention of pathogen- related disease borne in a covered product; and (2) conduct pathogen detection research and development, training, education, and public information.
Bill· HRH.R. 4592 (106th)referred
United States · United States Congress · 7 June 2000
Organ Procurement Organization Certification Act of 2000 - Amends the Public Health Service Act to add to the list of requirements to be met by qualified organ procurement organizations that an organization has been certified or recertified by the Secretary of Health and Human Services within the previous four-year period as meeting performance standards. Requires certification or recertification to be made through a process that either granted certification or recertification with such certification or recertification in effect as of January 1, 2000, and remaining in effect through the earlier of January 1, 2002, or the completion of recertification under regulations promulgated by the Secretary, or that is defined through regulations promulgated by January 1, 2002, that: (1) require recertifications of such organizations no more frequently than once every four years; (2) rely on outcome and process performance measures that are based on empirical evidence of organ donor potential and other related factors in each service area of such organizations; (3) use multiple outcome measures as part of the certification process; and (4) provide for a qualified organization to appeal a decertification to the Secretary on substantive and procedural grounds.
Bill· HRH.R. 4594 (106th)referred
United States · United States Congress · 7 June 2000
Pediatric Diabetes Research and Prevention Act - Directs the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, to develop a system to collect data on juvenile diabetes, including with respect to incidence and prevalence, and to establish a national database for such data. Directs the Secretary, acting through the Director of the National Institutes of Health, to conduct or support long-term epidemiology studies in which individuals with type 1, or juvenile, diabetes are followed for 10 years or more. Authorizes appropriations.
Bill· SS. 2675 (106th)referred
United States · United States Congress · 6 June 2000
Women's Health Office Act of 2000 - Amends the Public Health Service Act to establish: (1) within the Office of the Secretary of Health and Human Services an Office on Women's Health (2) within the Office of the Director of the Centers for Disease Control and Prevention an office to be known as the Office of Women's Health; and (3) establish within the Office of the Director of the Agency for Healthcare Research and Quality an office to be known as the Office of Women's Health. Amends the Social Security Act to establish within the Office of the Administrator of the Health Resources and Services Administration an office to be known as the Office of Women's Health. Amends the Federal Food, Drug, and Cosmetic Act to establish within the Office of the Commissioner of the Food and Drug Administration an office to be known as the Office of Women's Health. Authorizes appropriations.
Law· HRH.R. 4577 (106th)enacted
United States · United States Congress · 1 June 2000
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2001 - Makes appropriations for FY 2001 for the Departments of Labor, Health and Human Services, and Education and related agencies. Title I: Department of Labor - Department of Labor Appropriations Act, 2001 - Makes appropriations for FY 2001 to the Department of Labor for: (1) training and employment services; (2) community service employment for older Americans; (3) Federal unemployment benefits and allowances; (4) State unemployment insurance and employment service operations; (5) advances to the Unemployment Trust Fund and other trust funds; (6) employment and training program administration; (7) the Pension and Welfare Benefits Administration and the Pension Benefit Guaranty Corporation; (8) the Employment Standards Administration; (9) certain special benefits; (10) the Black Lung Disability Trust Fund; (11) the Occupational Safety and Health Administration (OSHA); (12) the Mine Safety and Health Administration; (13) the Bureau of Labor Statistics; (14) departmental management; (15) the Assistant Secretary for Veterans Employment and Training; and (16) the Office of Inspector General. Sets forth authorized uses of, and limitations on, funds appropriated under this title. (Sec. 103) Prohibits the use of funds available in this Act by OSHA to promulgate or enforce any proposed, temporary, or final standard on ergonomic protection. Title II: Department of Health and Human Services - Department of Health and Human Services Appropriations Act, 2001 - Makes appropriations for FY 2001 to the Department of Health and Human Services (HHS) for: (1) the Health Resources and Services Administration; (2) health education assistance loans; (3) the Vaccine Injury Compensation Program Trust Fund; (4) the Centers for Disease Control and Prevention; (5) the National Institutes of Health (NIH), including amounts for the John E. Fogarty International Center, the National Library of Medicine, the Office of the Director, and buildings and facilities; (6) the Substance Abuse and Mental Health Services Administration; (7) the Agency for Healthcare Research and Quality; (8) the Health Care Financing Administration for grants to States for Medicaid, payments to health care trust funds, and program management; (9) the Health Maintenance Organization Loan and Loan Guarantee Fund; (10) the Administration for Children and Families for child support enforcement and family support programs; (11) low income home energy assistance; (12) refugee and entrant assistance; (13) the child care and development block grant; (14) the social services block grant; (15) children and families services programs; (16) promoting safe and stable families pursuant to a specified provision of the Social Security Act; (17) payments to States for foster care and adoption assistance; (18) the Administration on Aging; (19) the Office of the Secretary for general departmental management; (20) the Office of Inspector General; (21) the Office for Civil Rights; (22) policy research; (23) retirement pay and medical benefits for Public Health Service commissioned officers; and (24) the Public Health and Social Services Emergency Fund. Rescinds FY 2001 funds for a sample study of child welfare. Sets forth authorized uses of, and limitations on, funds appropriated under this title. (Sec. 209) Prohibits funds appropriated in this Act from being made available under title X (population research and voluntary family planning) of the Public Health Service Act unless the award applicant certifies to the Secretary of HHS that it encourages family participation in the decision of minors to seek family planning services and provides counseling to minors on resisting attempts to coerce them into engaging in sexual activities. (Sec. 210) Prohibits the use of funds appropriated by this Act to carry out the Medicare+Choice program if the Secretary of HHS denies participation in such program to an otherwise eligible entity (including a Provider Sponsored Organization) because the entity informs the Secretary that it will not provide, pay for, provide coverage of, or provide referrals for abortions. (Sec. 211) Requires allotments for States for substance abuse prevention and treatment under the Public Health Service Act to be no less than the amount a State received for such purposes for FY 2000 increased by 33.33 percent of the percentage by which the amount allotted to the States for FY 2001 exceeds the amount allotted for FY 2000. (Sec. 213) Prohibits funds in any Act from being used to obligate funds for NIH in excess of the total amount identified for NIH for FY 2001 in the President's budget request. Bars funds made available for each institute, center, office, or buildings and facilities from being reduced below the amounts shown in the budget request column of the table printed in the report accompanying the bill making appropriations for the Departments of Labor, HHS, Education, and related agencies for FY 2001. Title III: Department of Education - Department of Education Appropriations Act, 2001 - Makes appropriations for FY 2001 to the Department of Education for: (1) education reform; (2) education for the disadvantaged; (3) impact aid; (4) school improvement activities; (5) reading excellence; (6) Indian education; (7) bilingual and immigrant education; (8) special education; (9) rehabilitation services and disability research; (10) special institutions for persons with disabilities, including the American Printing House for the Blind, the National Technical Institute for the Deaf, the Kendall Demonstration Elementary School, the Model Secondary School for the Deaf, and Gallaudet University; (11) vocational and adult education; (12) student financial assistance; (13) the Federal Family Education Loan program account; (14) higher education; (15) Howard University; (16) the college housing and academic facilities loans program; (17) the historically Black college and university capital financing program account; (18) education research, statistics, and improvement; (19) departmental management; (20) the Office for Civil Rights; and (21) the Office of the Inspector General. Sets forth authorized uses of, and limitations on, funds appropriated under this title. (Sec. 301) Prohibits funds appropriated in this Act from being used to: (1) transport teachers or students in order to overcome racial imbalance in any school or to carry out a racial desegregation plan; or (2) prevent the implementation of programs of voluntary prayer and meditation in public schools. (Sec. 304) Bars the use of funds made available under title III of the Elementary and Secondary Education Act of 1965 to a local educational agency or elementary or secondary school to purchase computers used to access the Internet, or pay direct costs of accessing the Internet, unless the agency or school has in place technology on such computers which filters material that is obscene or hurtful to minors and child pornography. (Sec. 305) Prohibits the use of funds made available in this Act to carry out activities related to any federally sponsored national test in reading, mathematics, or any other subject that is not specifically and explicitly provided for in authorizing legislation enacted into law, with exceptions for specified international comparative assessments administered only to a representative sample of pupils in the United States and foreign nations. Title IV: Related Agencies - Makes appropriations for FY 2001 to the: (1) Armed Forces Retirement Home; (2) Corporation for National and Community Service; (3) Corporation for Public Broadcasting; (4) Federal Mediation and Conciliation Service; (5) Federal Mine Safety and Health Review Commission; (6) Office of Library Services; (7) Medicare Payment Advisory Commission; (8) National Commission on Libraries and Information Science; (9) National Council on Disability; (10) National Labor Relations Board; (11) National Mediation Board; (12) Occupational Safety and Health Review Commission; (13) Railroad Retirement Board for the dual benefits payments account, Federal payments to the railroad retirement accounts, administration, and the Office of Inspector General; (14) Social Security Administration for payments to the social security trust funds, special benefits for disabled coal miners, the Supplemental Security Income (SSI) Program, administrative expenses, and the Office of Inspector General; and (15) U.S. Institute of Peace. Sets forth authorized uses of, and limitations on, funds appropriated under this title. Title V: General Provisions - Sets forth authorized uses of, and limitations on, funds appropriated under this Act. (Sec. 505) Prohibits the use of funds appropriated under this Act for programs to distribute sterile needles or syringes for the injection of illegal drugs. (Sec. 506) Sets forth Buy American requirements. (Sec. 508) Prohibits funds appropriated under this Act from being expended for abortions or for health benefits coverage that includes coverage of abortion, except in cases where the pregnancy is the result of rape or incest or where a woman suffers from a physical condition that would, as certified by a physician, place her in danger of death unless an abortion is performed. (Sec. 510) Prohibits the use of funds made available in this Act for: (1) the creation of a human embryo for research purposes; or (2) research in which a human embryo is destroyed or knowingly subjected to risk of injury or death greater than that allowed for research on fetuses in utero under Federal regulations and the Public Health Service Act. (Sec. 511) Prohibits the use of funds made available in this Act for activities to promote the legalization of a controlled substance unless there is significant medical evidence of a therapeutic advantage to the use of such substance or that federally-sponsored trials are being conducted to determine such advantage. (Sec. 514) Repeals a provision of the Balanced Budget Act of 1997 that designates the delivery date for SSI benefit payments under the Social Security Act for October 2000. (Sec. 516) Amends part A (Temporary Assistance for Needy Families) (TANF) of title IV of the Social Security Act to limit the amount of the FY 2001 State TANF supplemental grant for population increases in certain States to the amount of such grant for FY 1998. (Sec. 517) Amends the Ticket to Work and Work Incentives Improvement Act to apply a certain schedule for the delivery of SSI supplementation payments to months after September 2001 (currently, 2009).
Law· HRH.R. 4576 (106th)enacted
United States · United States Congress · 1 June 2000
Department of Defense Appropriations Act, 2001 - Title I: Military Personnel - Appropriates funds for FY 2001 for active-duty and reserve personnel in the Army, Navy, Marine Corps, and Air Force and for National Guard personnel in the Army and Air Force. Title II: Operation and Maintenance - Appropriates funds for FY 2001 for operation and maintenance of the Army, Navy, and Air Force (including a transfer of funds in each case), the Marine Corps, the defense agencies (including a transfer of funds), the reserve components, and the Army and Air National Guards. Appropriates funds for: (1) the Overseas Contingency Operations Transfer Fund (including a transfer of funds); (2) the U.S. Court of Appeals for the Armed Forces; (3) environmental restoration for the Army, Navy, and Air Force and defense-wide (including a transfer of funds in each case); (4) environmental restoration at formerly used defense sites (including a transfer of funds); (5) overseas humanitarian, disaster, and civic aid; (6) former Soviet Union threat reduction; and (7) quality of life enhancements, defense. Title III: Procurement - Appropriates funds for FY 2001 for procurement by the armed forces and reserve components of aircraft, missiles, weapons, tracked combat vehicles, ammunition, and shipbuilding and conversion and for other procurement. Appropriates funds for: (1) defense-wide procurement; and (2) certain procurements under the Defense Production Act of 1950. Title IV: Research, Development, Test, and Evaluation - Appropriates funds for FY 2001 for research, development, test, and evaluation by the armed forces and defense agencies. Appropriates funds for the Director of Operational Test and Evaluation. Title V: Revolving and Management Funds - Appropriates funds for the Defense Working Capital funds and programs under the National Defense Sealift Fund. Title VI: Other Department of Defense Programs - Appropriates funds for: (1) Department of Defense (DOD) medical and health care programs; (2) the destruction of lethal chemical agents and munitions; (3) drug interdiction and counter-drug activities, defense (including a transfer of funds); and (4) the Office of the Inspector General. Title VII: Related Agencies - Appropriates funds for: (1) the Central Intelligence Agency Retirement and Disability System Fund; (2) the Intelligence Community Management Account (including a transfer of funds); (3) payment to the Kaho'olawe Island Conveyance, Remediation, and Environmental Restoration Fund; and (4) national security scholarships, fellowships, and grants (using funds derived from the National Security Education Trust Fund). Title VIII: General Provisions - Specifies authorized, restricted, and prohibited uses of appropriated funds. (Sec. 8008) Authorizes procurement funds to be used for multiyear procurement contracts for the M2A3 Bradley fighting vehicle, the DDG-51 destroyer, and UH-60/CH-60 aircraft. (Sec. 8010) Prohibits during FY 2001 the management by end strengths of DOD civilian personnel. (Sec. 8019) Authorizes the Secretary of Defense (Secretary) to establish, with host governments of NATO-member countries, an account for the deposit of residual amounts negotiated in the return of U.S. military installations to such countries. (Sec. 8030) Authorizes DOD to incur obligations of up to $350 million for DOD military personnel compensation, military construction projects, and supplies and services in anticipation of receipts of contributions from the Government of Kuwait. (Sec. 8031) Prohibits the use of funds from this Act to establish a new DOD federally funded research and development center (FFRDC). Limits the Federal compensation to be paid to FFRDC members or consultants. Prohibits the use of FY 2001 FFRDC funds for new building construction, cost-sharing payments for projects funded by Government grants, absorption of cost overruns, or certain charitable contributions. Limits the staff years of technical effort that may be funded for FFRDCs from FY 2001 funds. (Sec. 8032) Provides Buy American requirements with respect to the DOD procurement of carbon, alloy, or armor steel plating. (Sec. 8035) Requires the Secretary to report to Congress on the amount of DOD purchases from foreign entities in FY 2001. (Sec. 8038) Directs the President to include within each fiscal year budget the amounts requested for administrative activities of DOD, the military departments, and the defense agencies. (Sec. 8046) Earmarks funds appropriated under this Act for the mitigation of adverse environmental impacts on Indian lands resulting from DOD activities. (Sec. 8049) Prohibits the use of funds: (1) by a DOD entity without compliance with the Buy American Act; (2) to establish additional field operating agencies of DOD elements or to hire additional personnel for such agencies, except for those funded within the National Foreign Intelligence Program; (3) for assistance to the Democratic People's Republic of Korea unless specifically appropriated for such purpose; (4) to reduce the civilian medical and medical support personnel assigned to military treatment facilities below the September 30, 2000, level; and (5) to transport chemical munitions to the Johnston Atoll for storage or demilitarization (with an exception and an authorized wartime waiver by the President). (Sec. 8053) Authorizes DOD to lease real and personal property at the Adak Naval Air Facility, Alaska. (Sec. 8054) Rescinds specified funds from various accounts under prior defense appropriations Acts. (Sec. 8061) Prohibits the transfer to any other department or agency, except as specifically provided in an appropriations law, of funds available to DOD or the Central Intelligence Agency for drug interdiction and counter-drug activities. (Sec. 8069) Directs the Secretary to report quarterly to specified congressional committees on all costs incurred by DOD during the preceding quarter in implementing or supporting United Nations (UN) Security Council resolutions. (Sec. 8070) Prohibits current fiscal year DOD funds from being obligated or expended to transfer to another nation or international organization defense articles or services for use in any UN peacekeeping or peace enforcement operation, or for any other international peacekeeping, peace enforcement, or humanitarian assistance operation, unless specified congressional committees are given 15 days' advance notice. (Sec. 8071) Authorizes the Secretary, to the extent authorized by law, to issue loan guarantees in support of U.S. defense exports not otherwise provided for, with a contingent liability limit of $15 billion. Requires quarterly reports to specified congressional committees on such loan guarantees. (Sec. 8078) Directs the Under Secretary of Defense (Comptroller) to submit to the defense committees a report identifying any activity for which the FY 2002 budget request was reduced because Congress appropriated funds above the President's budget request for that activity for FY 2001. (Sec. 8080) Authorizes the Secretary, during the current fiscal year, to waive reimbursement of certain educational costs of the Asia-Pacific Center for Security Studies for military officers and civilian officials of foreign nations if determined to be in the national security interest. (Sec. 8081) Authorizes the Chief of the National Guard Bureau to permit the use of equipment of the National Guard Distance Learning Project on a space-available, reimbursable basis. (Sec. 8085) Reduces by $800 million the total amount appropriated in this Act, to reflect working capital fund cash balance and rate stabilization adjustments. (Sec. 8086) Prohibits the use of appropriated funds for approving the license or sale of the F-22 advanced tactical aircraft to any foreign government. (Sec. 8087) Authorizes the Secretary, on a case-by-case basis, to waive limitations on the procurement of defense items from a foreign country if: (1) the Secretary determines that such limitations would invalidate cooperative or reciprocal trade agreements for the procurement of defense items; and (2) such country does not discriminate against the same or similar defense items procured in the United States for that country. Provides exceptions. (Sec. 8091) Prohibits the use of appropriated funds to support a unit of the security forces of a foreign country if credible information exists that such unit has committed a gross violation of human rights, unless all necessary corrective steps have been taken. Requires the monitoring of such information. Authorizes the Secretary to waive such prohibition under extraordinary circumstances (requiring a report to the defense committees on any such waiver). (Sec. 8092) Reduces the total amount appropriated in this Act by 537.6 million, to reflect savings from favorable foreign currency fluctuations. (Sec. 8094) Earmarks funds from this Act to maintain an attrition reserve force of 23 B-52 aircraft. (Sec. 8098) Provides for the crediting during the current fiscal year of certain refunds attributable to the use of Government travel cards and the Government Purchase Card. (Sec. 8099) Prohibits appropriated funds from being used for a mission critical or mission essential information technology system that is not registered with the DOD Chief Information Officer. Prohibits such a system from receiving a Milestone I, II, or III approval until such Officer provides written certification to the defense committees that the system is being developed in accordance with certain requirements under the Clinger-Cohen Act of 1966. Requires certain other information to be included in such certification. (Sec. 8101) Prohibits appropriated funds from being used to transfer to any nongovernmental entity specified armor-piercing ammunition, except to an entity performing demilitarization services for DOD. (Sec. 8102) Authorizes the Chief of the National Guard to waive payment for the lease of non-excess DOD personal property to certain youth, social, or fraternal non-profit organizations. (Sec. 8105) Authorizes the Secretary of the Air Force to convey to Indian tribes in North and South Dakota, Montana, and Minnesota excess relocatable military housing units located at Grand Forks and Minot Air Force Bases. (Sec. 8109) Reduces the total amount appropriated in this Act by $463.4 million, to reflect stabilization of the balance available in the Foreign Currency Fluctuation, Defense account. (Sec. 8111) Requires a report from the Secretary to the defense committees on work-related illnesses in the DOD workforce resulting from exposure to beryllium or beryllium alloys. (Sec. 8115) Requires a specified certification from the Secretary of the Army to the defense committees prior to the procurement of a second brigade set of Interim Armored Vehicles (also known as the Family of Medium Armored Vehicles). Requires a report from such Secretary to such committees with respect to that program. Directs the JCS Chairman to report to such committees on the joint warfighting requirements to be met by the Army new medium brigades. (Sec. 8116) Requires certain testing and certifications by the Secretary prior to the availability of funds to award a full funding contract for low-rate initial production for the F-22 aircraft program. Limits the total amount available for F-22 engineering and manufacturing development and production costs. (Sec. 8118) Directs the Secretary to report to the defense committees on the Joint Strike Fighter aircraft program, especially with regard to program changes or modifications. Requires a second report on the acquisition plan for such program. Prohibits the use of appropriated funds for engineering and manufacturing development for such program until the later of: (1) June 21, 2000, and the submission of the above reports; or (2) a certain certification from the Secretary regarding full funding for such program in the future-years DOD budget.
Bill· SS. 2639 (106th)referred
United States · United States Congress · 25 May 2000
Mental Health Early Intervention, Treatment, and Prevention Act of 2000 - Amends the Public Health Service Act to establish programs for the treatment of mental illness. Directs the creation of a national anti-stigma and suicide prevention campaign to reduce the stigma often associated with mental illness. Provides for award grants to States, their political subdivisions, Indian tribes, and tribal organizations to train teachers and school personnel to recognize and respond to symptoms of adolescent mental disorders. Authorizes grants to support the designation of emergency mental health centers. Provides for a program of up to 125 grants to develop programs to divert individuals with mental illness from the criminal justice system to community-based services. Establishes grant programs for: (1) reduction of suicide deaths; (2) outreach screening to identify and refer persons with mental illnesses and co- occurring substance abuse disorders; (3) expansion of community-based mental health services; and (4) establishment of centers of excellence on psychological trauma response. Requires establishment, through the Director of the National Institute of Mental Health, of a research program to determine factors contributing to noncompliance with outpatient treatment plans and design innovative methods to enhance compliance. Directs the creation of Centers for Excellence in Translational Research, and programs to increase the supply of basic and clinical researchers in the mental health field. Creates a grant program to provide integrated child welfare and mental health services for children and adolescents under age 19 in the child welfare system or at risk of becoming part of the system, and parents or caregivers with mental illness or mental illness and a co-occurring substance abuse disorder. Provides for grants for accredited primary care residency training programs and continuing education programs to identify and refer persons with a mental illness. Establishes a commission to study mental health issues research and develop model State legislation based on such research results. Amends the Omnibus Crime Control and Safe Streets Act of 1968 to direct the Attorney General to make grants for mental health court programs: (1) to provide training of law enforcement and judicial personnel in addressing the unique needs of individuals with a mental illness who come in contact with the criminal justice system; and (2) to coordinate criminal adjudication, supervision, and delivery of mental health treatment for preliminarily qualified individuals. Establishes a mental health screening and treatment grant program for persons in jails and prisons. Directs that grants be made to train State and local law enforcement officers in identification of and resources available to individuals with a mental illness.
Bill· SS. 2635 (106th)referred
United States · United States Congress · 25 May 2000
WISEWOMAN Expansion Act of 2000- Amends the Public Health Service Act (PHSA) to permit the Secretary of Health and Human Services, through a competitive review process, to award grants to States to provide additional specified preventive health services, screenings, education, and referrals under PHSA provisions concerning preventive health measures with respect to breast and cervical cancers. Authorizes appropriations.
Bill· SS. 2644 (106th)referred
United States · United States Congress · 25 May 2000
Access to Innovation for Medicare Patients Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of self-injected biologicals approved by the Food and Drug Administration that are prescribed as a complete replacement for a drug or a biological that otherwise cannot be self-administered.
Bill· HRH.R. 4571 (106th)referred
United States · United States Congress · 25 May 2000
Providing Annual Pap Tests to Save Women's Lives Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to extend coverage of screening pap smears and screening pelvic exams to annual examinations regardless of whether a woman is of childbearing age or at high-risk.
Bill· HRH.R. 4563 (106th)referred
United States · United States Congress · 25 May 2000
Comprehensive Insurance Coverage of Childhood Immunization Act of 2000 - Amends the Public Health Service Act and the Employee Retirement Income Security Act to require comprehensive health insurance coverage for childhood immunization to be provided by health plans and insurance issuers in both group and individual markets.
Bill· HRH.R. 4555 (106th)referred
United States · United States Congress · 25 May 2000
Medicare+Choice Reliability Act of 2000 - Directs the Secretary of Health and Human Services to establish a six-year demonstration project in various designated geographic service areas under which a Medicare+Choice organization (under title XVIII part C of the Social Security Act) may elect to provide Medicare+Choice plans in accordance with the outlined special provisions of the project, including fee-for-service payments and waiver of certain requirements for supplemental benefits. Provides for sanctions for violation of project terms.
Bill· HRH.R. 4547 (106th)referred
United States · United States Congress · 25 May 2000
Medicare and Medicaid Nursing Services Quality Improvement Act of 2000 - Grants a temporary waiver of certain nurse aid training requirements for specially trained individuals who meet other specified requirements and perform a nursing or nursing-related service for a resident of a skilled nursing facility or a nursing facility covered under titles XVIII (Medicare) or XIX (Medicaid) of the Social Security Act.
Bill· HRH.R. 4557 (106th)referred
United States · United States Congress · 25 May 2000
AIDS Treatment and Assistance Act of 2000 - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act (SSA) to waive the 24-month waiting period for hospital insurance benefits under the OASDI program in the case of an individual medically determined to have acquired immune deficiency syndrome (AIDS). Amends SSA title XVIII (Medicare) to: (1) provide, in the case of such an individual entitled to benefits under Medicare part A (Hospital Insurance) pursuant to such waiver, for enrollment in the Medicare part B (Supplementary Medical Insurance) program during an initial enrollment period beginning on the first day of the first month of entitlement to OASDI disability insurance benefits; and (2) provide for Medicare coverage of any drug approved by the Food and Drug Administration that is prescribed for use in the treatment or alleviation of symptoms relating to AIDS.
Bill· HRH.R. 4553 (106th)referred
United States · United States Congress · 25 May 2000
Club Drug Anti-Proliferation Act of 2000 - Amends the Federal judicial code to direct the United States Sentencing Commission to amend the sentencing guidelines regarding any offense relating to the manufacture, importation, or exportation of, or trafficking in, 3-4 methylenedioxy methamphetamine (MDMA, or Ecstasy), 3-4 methylenedioxy amphetamine, 3-4 methylenedioxy-N-ethylamphetamine, paramethoxymethamphetamine (PMA), or any other controlled substance that is marketed as a club drug and that has either a chemical structure substantially similar to, or an effect on the central nervous system substantially similar to or greater than that of, MDMA or PMA. Directs the Commission: (1) to review and amend the Federal sentencing guidelines to provide for increased penalties comparable to the base offense levels for offenses involving any methamphetamine mixture; and (2) to ensure that the Federal sentencing guidelines reflect the need for aggressive law enforcement action regarding offenses involving such controlled substances and the dangers associated with unlawful activity involving such substances. (Sec. 4) Sets forth similar provisions with respect to offenses relating to the manufacture, importation, or exportation of, or trafficking in, gamma-hydroxybutyric acid and its salts (GHB), or the List I chemical gamma-butyrolactone. (Sec. 5) Directs the Commission to promulgate amendments under this Act as soon as practicable after this Act's enactment date in accordance with a procedure set forth in the Sentencing Act of 1987 (emergency guidelines promulgation authority), as though the authority under that Act had not expired. (Sec. 6) Amends the CSA to prohibit any person from teaching, demonstrating, or distributing information pertaining to the manufacture of: (1) a controlled substance with the intent that the teaching, demonstration, or information be used for, or in furtherance of, an activity that constitutes a crime; or (2) a controlled substance to any person knowing that such person intends to use the teaching, demonstration, or information for, or in furtherance of, an activity that constitutes an offense. Sets penalties for violations. (Sec. 7) Requires the head of each Federal department, agency, and establishment (department) to place anti-drug messages on appropriate Internet websites controlled by such department which shall contain an electronic hyperlink to the Internet website of the Office of National Drug Control Policy. (Sec. 8) Amends the Public Health Service Act to authorize the Administrator of the Substance Abuse and Mental Health Services Administration to make grants to, and enter into contracts and cooperative agreements with, public and nonprofit private entities to carry out: (1) school-based programs concerning the dangers of abuse of and addiction to MDMA, PMA, or related drugs, using methods that are effective and science-based, including initiatives that give students the responsibility to create their own anti-drug abuse education programs for their schools; and (2) community-based abuse and addiction prevention programs relating to MDMA, PMA, or related drugs that are effective and science-based. Sets forth provisions regarding: (1) permissible uses of grant funds; (2) priorities for grants; (3) a specified annual allocation to support and conduct periodic analyses and evaluations of effective prevention programs for abuse of and addiction to MDMA, PMA, or related drugs and the development of strategies for disseminating information about and implementing such programs; and (4) reporting requirements. Authorizes appropriations. Requires the Director of the Office of National Drug Control Policy, in conducting the national media campaign under the Drug-Free Media Campaign Act of 1998, to ensure that such campaign addresses the reduction and prevention of abuse of MDMA, PMA, or related drugs among young people in the United States.
Bill· HRH.R. 4549 (106th)referred
United States · United States Congress · 25 May 2000
Medicare Ambulance Transportation Service Improvement Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to extend Medicare coverage to ambulance services for transportation of individuals to certain outpatient facilities located in rural and other designated areas.
Bill· HRH.R. 4565 (106th)referred
United States · United States Congress · 25 May 2000
Amends the Safe and Drug-Free Schools and Communities Act of 1994 to include prevention of the abuse of inhalants under such Act's programs.
Resolution· HCONRESH.Con.Res. 341 (106th)referred
United States · United States Congress · 25 May 2000
Expresses the sense of Congress that the Medicare program should cover the treatment and removal of actinic keratoses based on the appropriate standard of care as determined by a beneficiary's treating physician.
Resolution· HCONRESH.Con.Res. 337 (106th)referred
United States · United States Congress · 25 May 2000
Expresses the sense of the Congress regarding the fight against tuberous sclerosis with respect to the role of: (1) all Americans; (2) national and community organizations and health care providers; (3) the Federal Government; and (4) the National Institutes of Health.
Bill· SS. 2625 (106th)referred
United States · United States Congress · 24 May 2000
Amends the Public Health Service Act to add to the list of requirements to be met by qualified organ procurement organizations that an organization has been certified or recertified by the Secretary of Health and Human Services within the previous four-year period as meeting performance standards. Requires certification or recertification to be made through a process that either granted certification or recertification with such certification or recertification in effect as of January 1, 2000, and remaining in effect through the earlier of January 1, 2002, or the completion of recertification under regulations promulgated by the Secretary, or that is defined through regulations promulgated by January 1, 2002, that: (1) require recertifications of such organizations no more frequently than once every four years; (2) rely on outcome and process performance measures that are based on empirical evidence of organ donor potential and other related factors in each service area of such organizations; (3) use multiple outcome measures as part of the certification process; and (4) provide for a qualified organization to appeal a decertification to the Secretary on substantive and procedural grounds.