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Bill· HRH.R. 13097 (93rd)referred
United States · United States Congress · 27 February 1974
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
Bill· HRH.R. 13085 (93rd)referred
United States · United States Congress · 27 February 1974
Comprehensive School Health Education Act - Declares that it is the purpose of this Act to encourage the provision of comprehensive programs in elementary and secondary schools with respect to health education and health problems by establishing a system of grants for teacher training, pilot and demonstration projects, and the development of comprehensive health education programs. Empowers the Commissioner of Education to make grants to State educational agencies and institutions of higher education for teacher training with respect to the provision of comprehensive health education programs in schools. Authorizes to be appropriated $10,000,000 for fiscal year 1975; $12,500,000 for fiscal year 1976; and $15,000,000 for fiscal year 1977, to carry out such grants. Authorizes the Commissioner to make grants to State and local educational agencies, institutions of higher education, and other public or private nonprofit education or research organizations to support pilot demonstration projects in elementary and secondary schools with respect to health education and health problems. Authorizes appropriations for such purposes. States that the Commissioner may make grants to State educational agencies for the development of comprehensive programs in elementary and secondary schools with respect to health education and health problems. Provides for the apportionment of funds appropriated for such purposes. Authorizes to be appropriated $50,000,000 for fiscal year 1977. Sets forth the requirements for receiving grants under this Act, including the application procedures. Directs the Commissioner to, when requested, render technical assistance to local educational agencies, public and private nonprofit organizations, and institutions of higher education in the development and implementation of education programs with respect to health and health problems.
Bill· HRH.R. 13061 (93rd)referred
United States · United States Congress · 27 February 1974
National Health Care Services Reorganization and Financing Act - Title I: Reorganization of National Health Services - National Health Care Services Reorganization Act - Establishes the Department of Health which shall be headed by a Secretary of Health appointed by the President, by and with the advice and consent of the Senate. Provides for the appointment by the President, by and with the consent of the Senate, of an Under Secretary who shall act for, and exercise the powers of, the Secretary during the absence or disability of the Secretary. States that the Under Secretary shall perform such functions as the Secretary shall from time to time prescribe. Provides that there shall be in the Department seven Assistant Secretaries, a General Counsel, and a Chief Medical Officer who shall be appointed by the President, by and with the advice and consent of the Senate. Transfers to the Secretary and in specified instances to the Chief Medical Officer all functions of the Secretary of Health, Education and Welfare under laws and provisions of law listed in this Act. Provides that within one hundred and eighty days of the effective date of this title the President may transfer to the Secretary any function not transferred to the Secretary by this title, if the Director of the Office of Management and Budget determines that such function relates primarily to functions transferred by this title to the Secretary, or otherwise relates to health. Redesignates the Department of Health, Education and Welfare as the Department of Education and Welfare. Sets forth provisions concerning the administrative functions of the Department of Health. Requires the Secretary to make an annual report in writing to the President for submission to the Congress on the activities of the Department during the preceding fiscal year. Provides that all orders, determinations, rules, regulations, permits, contracts, certificates, licenses and privileges which have been issued under provisions of law transferred by this title and which are in effect at the time this title takes effect shall continue in effect until modified, terminated, superseded, set aside, or repealed by the Secretary, by any court of competent jurisdiction, or by operation of law. Directs the Secretary to submit to the Congress within two years after the effective date of this title a proposed codification of all laws which contain functions transferred to the Secretary. Makes the Secretary responsible for the planning, administration, operation, coordination, and evaluation of all programs transferred to him under this title in addition to the Health Care Program authorized under this Act. Authorizes the Secretary to prescribe such regulations as he deems necessary for the efficient administration of the Act. Establishes a National Health Services Advisory Council which shall consist of the Secretary and twenty members appointed by the Secretary. Sets forth the terms of office of the members of the Council. Authorizes the Council to: (1) advise the Secretary on matters of general policy in the administration of this title and in the formation of regulations; and (2) study the operation of this title and the activities of State Health Commission, Health Care Corporations, and other providers. Requires the Council to make an annual report to the Secretary for transmittal to the Congress. Authorizes the Secretary to provide financial and technical assistance for the early planning, development, establishment, and initial operation of Health Care Corporations, including incentives for the use of the capitation payment method of health care and for the development and improvement of outpatient care centers. States that the Secretary may provide such assistance by means of grants and contracts. Provides that in making such grants and contracts the Secretary shall take into account existing health care resources and health care delivery systems, the relative need of the States and areas within the States for assistance, and the need for an equitable distribution of such assistance. Authorizes the Secretary to make grants to State Health Commissions to facilitate and expedite the submission of State plans to the Secretary as required by this title. Authorizes to be appropriated for planning grants such sums as may be necessary for each of three fiscal years beginning with the fiscal year in which this Act is enacted. Provides for a Federal payment of 90 percent of the sums expended for the proper and efficient administration of an approved State plan. Decreases such payment over a specified time period to 75 percent of the State expenditures. Sets forth penalties for criminal violations of this Act. Declares that States will be in compliance with this Act if: (1) the State has created, within the executive branch of the State government, a State agency headed by a State Health Commission for carrying out the responsibilities devolving upon the State under this Act; (2) there is established in such agency a State Advisory Council; and (3) there is in effect an approved State plan, submitted by the State Health Commission, for carrying out the State's responsibilities under this title. Provides that a State Health Commission shall be composed of three or five members appointed by the Governor of the State for staggered terms which shall be renewable. States that not more than two members of a three-member commission, nor three-members of a five member commission shall be members of the same political party. Declares that it is the sense of the Congress that members of a State Health Commission should be chosen with a view to their ability to bring to the commission highly qualified, effective, and disinterested policy direction. Provides that the Advisory Council to the State Health Commission shall be appointed by the Governor of the State and consist of persons representative of providers and consumers of health care. States that the Council shall consult with the Commission in the development and carrying out of the State plan. Requires the State Health Commission of each participating State to conduct a study and survey with a view to the approval of service areas for applicant Health Care Corporations as a basis for the issuance of certificates of approval by the Commission, with the objective of affording to all the people in the State equal and ready access to the full range of comprehensive health care of high quality provided for in this title. Provides that a State plan shall make provision for stimulating and encouraging the organization of Health Care Corporations. Authorizes the Secretary to conduct the functions of a State Health Commission through the Department of Health, Education, and Welfare, when such a Commission has not been established in a State under this Act. Provides that the Secretary shall encourage and assist the States and their State Health Commissions in carrying out cooperatively with other States their respective functions, including the making of agreements between States for that purpose with respect to the establishment, admission, and approval of Health Care Corporations, the establishment of joint health care areas and assignment of such corporations thereto, and the exchange of information. Requires the Secretary to develop and encourage the enactment of model State legislation in the fields covered by this title. Defines a Health Care Corporation as a nonprofit private or governmental corporation which is organized for the purpose of furnishing comprehensive and coordinated personal health services to persons registered with the corporation, furnishing personal health services to other persons to the extent authorized by this title, and engaging in educational, research, and other activities incidental or related to the furnishing of personal health services, and which provides effective and equitable representation, on its governing board, of registrants with the corporation and affiliated institutional and professional providers furnishing services on its behalf. Provides that a Health Care Corporation shall assume responsibility for making available and furnishing to each registrant with the corporation all services for which he has Comprehensive Health Care Benefits coverage and which are medically necessary. Provides that services may be provided through an affiliated provider by contract with the Health Care Corporation. Provides that the Corporation shall as rapidly as practicable develop, by affiliation with existing organizations or otherwise, a system of outpatient care centers throughout the approved service area. Provides that a Health Care Corporation shall assume responsibility for the quality of all services furnished by it either through its own facilities and personnel or by providers affiliated or acting under arrangements with it. Provides that a Corporation shall provide an opportunity to all practitioners in an approved service area to furnish services on its behalf, either as members of its professional staff or as affiliated providers. Provides that a Corporation shall develop and keep current a continuing personal health record for each registrant of the corporation. Provides that the corporation shall establish methods by which registrants may express their views with regard to the policies and operation of the corporation, the health needs of the community, and the need for any modification or expansion of the services furnished by the corporation. Provides that in recruitment and registration a Health Care Corporation shall not discriminate on the ground of race, creed, color, national origin, age, sex, occupation, economic status, or condition of health. Provides that the National Health Services Advisory Council shall conduct a full and complete study and investigation of methods of supplying supplemental capital and other funding for Health Care Corporations and related health care organizations in the United States. States that the Council shall give particular consideration to the development of a program which: (1) establishes and utilizes as its basic source of funds a national trust fund; (2) provides for the distribution of amounts in the fund to State health commissions in a manner reflecting population, per capita income, and health care needs; (3) recognizes the need for adequate planning for health care services and facilities; (4) encourages and facilitates the continuing provision of funds for these purposes from sources other than the trust fund; (5) leaves to each State health commission, under general regulations of the Secretary, the determination of how the funds distributed to the commission are to be allocated; and (6) contains or is subject to such other provisions, conditions, and limitations as may be necessary or appropriate to assure that the study will be effectively carried out. Requires the Council, within one year after the effective date of this Act, to submit to the Secretary, for transmission to the Congress, a full and complete report of its study and investigation. Title II: Financing of National Health Services - National Health Care Services Financing Act - Provides, under title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act, that every employer shall be required to provide benefits under this Act equivalent to the hospital insurance benefits available under title XVIII (Health Insurance for the Aged) of the Social Security Act, to provide Catastrophic Expense Benefits coverage and to provide Comprehensive Health Care Benefits covered under this Act, to each of his employees and for the members of the family of each such employee. Provides, under title IX of the Social Security Act, that every individual who is receiving benefits under any Federal or State unemployment compensation law shall be entitled to coverage for benefits under this Act equivalent to the hospital insurance benefits available under title XVIII of the Social Security Act and Catastrophic Expense Benefits coverage and Comprehensive Expense Benefits coverage under this Act. Authorizes the Secretary to contract for or to subsidize Comprehensive Health Care Benefits to elderly and medically indigent individuals, provided, in the latter case, that entitlement to coverage contracted for by the Secretary shall be subject to the condition that the individual or family concerned contributes to the carriers annual premium charge for such coverage. Allows a tax deduction, under the Internal Revenue Code, to an individual for all of the expenses paid during the taxable year for Comprehensive Health Care Benefits coverage under this Act. Provides that a State shall not be required to provide Medicaid payments to the extent that individuals otherwise entitled thereto are covered by this Act. Provides that coverage of a registrant for Comprehensive Health Care Benefits shall entitle the registrant, with listed exceptions, to have the carrier pay the approved predetermined charges of the Health Care Corporation for services and items furnished to him. Provides a table of Comprehensive Health Care Benefits to be covered by this Act. Provides that the Secretary shall submit to Congress recommendations for the expansion of benefits after the program under this Act is in operation, giving special consideration to the expansion of benefits for dental and vision services based on the availability of resources. Sets forth the requirements to be met by carriers for participation in Comprehensive Health Care Benefits under this Act. Title III: Effective Dates - Provides that the program under this Act shall be fully in operation on and after the first day of the fifth fiscal year which begins after the date of the enactment of this Act.
Bill· HRH.R. 13084 (93rd)referred
United States · United States Congress · 27 February 1974
Comprehensive School Health Education Act - Declares that it is the purpose of this Act to encourage the provision of comprehensive programs in elementary and secondary schools with respect to health education and health problems by establishing a system of grants for teacher training, pilot and demonstration projects, and the development of comprehensive health education programs. Empowers the Commissioner of Education to make grants to State educational agencies and institutions of higher education for teacher training with respect to the provision of comprehensive health education programs in schools. Authorizes to be appropriated $10,000,000 for fiscal year 1975; $12,500,000 for fiscal year 1976; and $15,000,000 for fiscal year 1977, to carry out such grants. Authorizes the Commissioner to make grants to State and local educational agencies, institutions of higher education, and other public or private nonprofit education or research organizations to support pilot demonstration projects in elementary and secondary schools with respect to health education and health problems. Authorizes appropriations for such purposes. States that the Commissioner may make grants to State educational agencies for the development of comprehensive programs in elementary and secondary schools with respect to health education and health problems. Provides for the apportionment of funds appropriated for such purposes. Authorizes to be appropriated $50,000,000 for fiscal year 1977. Sets forth the requirements for receiving grants under this Act, including the application procedures. Directs the Commissioner to, when requested, render technical assistance to local educational agencies, public and private nonprofit organizations, and institutions of higher education in the development and implementation of education programs with respect to health and health problems.
Bill· HRH.R. 13060 (93rd)referred
United States · United States Congress · 27 February 1974
Comprehensive Health Insurance Act - Title I: National Health Care Benefits Program. States that the purpose of this title is to provide adequate protection against costs by requiring all employers to offer health care plans to their employees; and to assist the States in making similar plans available to individuals in need of such protection. Requires, under the Social Security Act, that every employer provide to each of his employees under the age of 65 a reasonable opportunity, as determined under regulations prescribed by the Secretary of Health, Education, and Welfare, to obtain coverage for himself and the members of his family under the age 65 at the option of the employee: (1) an employee health care insurance plan approved under this title or an assisted health care insurance plan obtained by the employer, (2) a group practice prepaid health care plan approved under this title, or (3) an individual practice prepaid health care plan approved under this title. States that the employer shall provide an amount equal to at least 75 percent of the cost of that coverage. Prohibits discrimination against an indiviudal with respect to the opportunity for employment, or the compensation, terms, condition, or privileges of employment, because of the individual's health status or the health status of his dependents, except when directly related to the capacity of the individual to perform his duties as an employee. Directs the Secretary to make grants for health care programs to States which have submitted approved plans for the provision of health care benefits to individuals under the age of 65 who are otherwise unable to obtain such benefits. Authorizes appropriations for each fiscal year of sums necessary to carry out this purpose. Directs the Secretary to establish a Federal health care benefits program under which an individual who has attained the age of 65 and is entitled to monthly insurance benefits under Title II of this Act (Old-Age, Survivor's, and Disability Insurance Benefits) shall be entitled to Federal health care benefits under Title XVIII (Medicare). States that the benefits provided under the program shall be at the option of the individual: (1) to obtain coverage under the Federal health care insurance plan, or (2) to have the Secretary pay to any prepaid health care plan approved under this title under which the individual has obtained coverage at a rate which the Secretary determines is reasonable, on behalf of the individual, an amount equal to the cost to the Government of providing coverage under a Federal health care insurance plan, as determined under regulations prescribed by the Secretary. Provides that the Federal health care insurance plan shall impose, with respect to all items and services other than outpatient drugs and biologicals, and other blood and blood product, a per individual deductible equal to a specified percentage of the income base. States that the Federal health care insurance plan shall provide: (1) that an account will be established against which a covered individual may charge the cost of obtaining items and services covered under the plan, without regard to the deductible and coinsurance requirements applicable under the plan; (2) that payment for items and services covered under the plan, other than emergency services, will be made only on the basis of charges against that account; and (3) that payment will be made on the basis of charges against the account for items and services covered under the plan at the applicable reimbursement rates. Authorizes the Secretary to enter into contracts with carriers for the administration of benefits under the Federal health care insurance program. Establishes a Federal Helath Care Benefits Trust Fund. States that the Trust Fund shall consist of such gifts and bequests as may be made together with such amounts as may be deposited in, or appropriated to, such Fund under the provisions of this Act. Sets forth criteria for determining the amount to be aporopriated to the Trust Fund for each fiscal year. Establishes a Board of Trustees to be composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare. States that the duties of the Board of Trustees shall be to: (1) hold the Trust Fund; (2) report to the Congress not later than the first day of April of each year on the operation and status of the Trust Fund during the preceding fiscal year and on its expected operation and status during the current fiscal year and the next two fiscal years; (3) report immediately to the Congress whenever the Board is of the opinion that the amount of the Trust Fund is unduly small; and (4) review the general policies followed in managing the Trust Fund, and recommend changes in such policies, including necessary changes in the provisions of law which govern the way in which the Trust Fund is to be managed. Requires that employee health care insurance plans provide for the following services for each covered individual: (1) inpatient hospital services; (2) physicians' services; (3) medical and other health services; (4) home health services; (5) post-hospital extended care services; (6) outpatient drugs and biologicals; (7) routine dental services for individuals under the age of 13; (8) developmental vision care services, as defined in regulations prescribed by the Secretary routine eye and vision examinations, and eyeglasses, for individuals under the age of 13; and (9) hearing aids and examinations therefor, for individuals under the age of 13. Sets forth limits for employee health care insurance plans, including the following: (1) post-hospital extended care services shall be limited to 100 days per calendar year; (2) home health services must be limited to 100 visits per calendar year; and (3) inpatient hospital services for the treatment of mental illness shall be limited to 30 days per calendar year, with each day of partial hospitalization, as defined in regulations prescribed by the Secretary, counting as one-half day of inpatient services. Enumerates the requirements for meeting the provisions of this Act. States that a group practice pre-paid health care plan must: (1) provide physicians' services (other than infrequently used services, as determined under regulations prescribed by the Secretary) through physicians who are employees or partners of the organization, or through arrangements with one or more groups of physicians engaged in the coordinated practice of their profession for the organization; and (2) meet such requirements concerning its organizational structure and financial arrangements as the Secretary may, by regulation, prescribe. Provides that the Secretary may, by regulation, make such modifications in the requirements imposed by this section as he determines are appropriate with respect to group practice prepaid health care plans offered to employees whose place of employment is outside the United States. Sets forth requirements for approval of individual practice prepaid health care plans, approval of special employee health care programs, and requirements for certification of providers. States that any State dissatisfied with a determination of the Secretary with respect to whether the State is meeting the provisions of this Act may file a petition for review of such determination with the United States court of appeals to the circuit in which such state is located. Stipulates that the court shall have jurisdiction to affirm the action of the Secretary, or to set it aside, in whole or in part. Sets forth judicial remedies and criminal sanctions for noncompliance. Title II: Reduction in Services Provided Under Medical Assistance Programs - Sets forth technical and conforming amendments to the Medical Program. Title III: Sets forth technical and conforming amendments to the Professional Standards Review Program, and the Capital Expenditures Review Program. Title IV - General Provisions: States that if a provision of this Act is held invalid, all other provisions so enacted shall remain in effect.
Bill· SS. 3059 (93rd)referred
United States · United States Congress · 26 February 1974
Extends, until July 1, 1975, the time period for applications for grants for startup assistance to schools under the Public Health Service Act.
Bill· HRH.R. 13053 (93rd)passed
United States · United States Congress · 26 February 1974
National Cancer Amendments - Revises the Public Health Service Act by authorizing the Director of the National Cancer Institute to provide and contract for a program to disseminate and interpret for practitioners and other health professionals, scientists, and the general public new scientific and other information respecting the cause, prevention, diagnosis, and treatment of cancer. Increases the authorized appropriations for the carrying out of the National Cancer Program. Makes various technical and conforming changes in the Public Health Service Act. Directs the Secretary of Health, Education, and Welfare to require appropriate scientific peer review of (1) applications made after the effective date of such regulations for grants under this Act for biomedical and behavioral research; and (2) biomedical and behavioral research and development contract projects to be administered after such effective date through an institute established under this Act, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, or the National Institute on Drug Abuse.
Bill· HRH.R. 13039 (93rd)referred
United States · United States Congress · 26 February 1974
National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy. Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission. Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder. Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.
Bill· HRH.R. 13040 (93rd)referred
United States · United States Congress · 26 February 1974
Prohibits smoking aboard aircraft operating in air transportation. Provides a fine of not more than $500 for a violation of this Act. (Amends 49 U.S.C. 1472)
Bill· SS. 3045 (93rd)referred
United States · United States Congress · 25 February 1974
Rural Development Health Care Services Act - Calls for the identification of health service scarcity areas in the rural United States. Provides for matching fund grants to associated community health councils for the development, utilization, organization, and financing of health care services in rural areas. Authorizes to be appropriated to carry out such purposes $50,000,000 for fiscal year 1975, and each of the next two succeeding fiscal years. Defines the term "associated community health councils" as two or more political subdivisions which have voluntarily joined together for the purpose of providing health care to individuals residing in their jurisdictions by contracting with direct providers of health care services for the provision of such services in rural areas. Prohibits the Secretary of Health, Education, and Welfare from establishing higher fees for comparable services in urban areas than in rural areas within the same State.
Bill· HRH.R. 13013 (93rd)referred
United States · United States Congress · 25 February 1974
Includes drugs requiring a doctor's prescription among the medical expenses with respect to which payment may be made under the voluntary program of supplementary medical insurance benefits for the aged, under title XVIII of the Social Security Act (Medicare).
Bill· HRH.R. 12977 (93rd)referred
United States · United States Congress · 21 February 1974
Extends, under the Public Health Service Act, for two fiscal years the authority for grants for two-year medical schools intending to become schools capable of granting medical degrees.
Bill· HRH.R. 12943 (93rd)referred
United States · United States Congress · 21 February 1974
National Arthritis Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance a national attack on arthritis. Establishes a National Task Force on Arthritis to formulate a long-range plan to combat arthritis and related musculoskeletal and other related diseases. Provides that the Arthritis Plan shall include recommendations for the utilization and organization of national resources for the campaign against arthritis, and a program for the National Institute of Arthritis, Metabolism, and Digestive Diseases as a major participant in the campaign against arthritis. Specifies the composition of the Task Force membership. Authorizes to be appropriated $500,000 for fiscal years 1974 and 1975 to carry out the purposes of the national arthritis program. Establishes within the Institute the position of Associate Director for Arthritis who shall be responsible for programs regarding arthritis within such Institute. Provides that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis Coordinating Committee to be composed of representatives who can make policy commitments for each of the Institutes and divisions involved in arthritis-related research. Creates within the Federal Government an Interagency Technical Committee on Arthritis which shall be responsible for promoting the coordination of those aspects of all Federal health programs and activities relating to arthritis to assure the adequacy and technical soundness of such programs and activities and to provide for the full communication and exchange of information necessary to maintain adequate coordination of such programs and activities. States that the Director of the Institute shall establish programs for cooperation with other health agencies in the screening, detection, prevention, and control of arthritis which emphasize the development of new diagnostic and treatment methods for arthritis, and the dissemination of the knowledge about these methods to the health professions. Authorizes to be appropriated to carry out these provisions $5,000,000 for fiscal year 1975; $10,000,000 for fiscal year 1976; and $15,000,000 for fiscal year 1977. Provides that the Director of the Institute shall provide for the development of centers for basic and clinical research into, training in, and demonstration of, advanced diagnostic, prevention, control, and treatment methods for arthritis. Authorizes to be appropriated to carry out these provisions $10,000,000 for fiscal year 1975; $15,000,000 for fiscal year 1976; and $20,000,000 for fiscal year 1977. Requires the Director of the Institute, after the end of each calendar year, to submit to the President and Congress a report including: (1) a proposal for the Institute's activities during the next five years; and (2) a program evaluation section.
Bill· HRH.R. 12940 (93rd)referred
United States · United States Congress · 21 February 1974
Revises the Public Health Service Act by extending for one year the application deadline and the deadline for enrollment of third-year students for two-year medical schools intending to become schools capable of granting medical degrees which are seeking grants under this Act.
Bill· HRH.R. 12917 (93rd)referred
United States · United States Congress · 20 February 1974
Prohibits sterilizations which are financed by Federal funds on any person who is under eighteen years of age unless such sterilization is indispensable to prevent a serious threat to a patient's physical health.
Bill· HRH.R. 12897 (93rd)referred
United States · United States Congress · 20 February 1974
Includes, under title XVIII (Medicare) of the Social Security Act, breast prosthesis among the items and services for which payment may be made under the present supplementary medical insurance program of such Act.
Bill· SS. 3023 (93rd)referred
United States · United States Congress · 19 February 1974
Biomedical Research Act - Establishes the President's Biomedical Research Panel to be composed of the Chairman of the President's Cancer Panel and two members appointed by the President. Requires the Panel to monitor the development and execution of the biomedical research programs of the National Institutes of Health and to report directly to the President. States that any delays or blockages in rapid execution of the biomedical research programs of the National Institutes of Health shall immediately be brought to the attention of the President and the Senate Committee on Labor and Public Welfare, the House Committee on Interstate and Foreign Commerce, the Senate Committee on Appropriations and the House Committee on Appropriations.
Bill· HRH.R. 12889 (93rd)referred
United States · United States Congress · 19 February 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 12879 (93rd)referred
United States · United States Congress · 19 February 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 12875 (93rd)referred
United States · United States Congress · 19 February 1974
Provides, under title XVIII of the Social Security Act, for coverage under medicare for routine Papanicolaou tests for the diagnosis of uterine cancer.
Bill· HRH.R. 12892 (93rd)referred
United States · United States Congress · 19 February 1974
Health Service Amendments - Title I: Comprehensive Public Health Services, and Health Services Development - Revises the allocation of funds within the states and extends state formula grants, under the Public Health Service Act. Extends the period for appropriation of project grants and revises the criteria for administration of such grants. Establishes, in lieu of the National Advisory Council on Comprehensive Health Planning Programs, the National Advisory Council on Health Services. Provides that the Council shall advise the Secretary of Health, Education, and Welfare as to matters of policy arising with respect to the financing and delivery of health services under the Public Health Service Act. Sets forth the composition of the Council. Makes various technical and conforming changes in the Public Health Service Act. Title II: Extension of Alcoholism Formula Grants - Extends grants under the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act for the next five years after the fiscal year ending June 30, 1972. Title III: Developmental Disabilities - The Developmental Disabilities Amendments - Revises appropriation authorizations under the Development Disabilities Services and Facilities Construction Act. Eliminates requirements of Federal approval of each construction project under the Act. Makes various technical and conforming amendments. Title IV: Effective Date - Sets forth effective dates of the provisions of this Act.
Bill· HRH.R. 12876 (93rd)referred
United States · United States Congress · 19 February 1974
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· SS. 3011 (93rd)referred
United States · United States Congress · 18 February 1974
Health Services Amendments - Title I: Comprehensive Public Health Services, and Health Services Development - Provides, under the Public Health Service Act, for: (1) the repeal of the mental health allocation; (2) the extension of State formula grants; and (3) the extension and modification of project grants. Repeals provisions of the Public Health Service Act establishing a National Advisory Council on Comprehensive Health Planning Programs and directs the Secretary of Health, Education, and Welfare to appoint a National Advisory Council on Health Services. Outlines the membership composition and rates of compensation of such Council. Makes technical and conforming amendments. Title II: Extension of Alcoholism Formula Grants - Extends the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act through the next five fiscal years. Title III: Developmental Disabilities - Developmental Disabilities Amendments - Extends the appropriation authorizations under the Developmental Disabilities Services and Facilities Construction Act. Sets forth a minimum allotment of $50,000 per fiscal year for territories under such Act. Eliminates specified requirements of Federal approval of each construction project under such Act. Provides that the Federal share under such Act shall be 70 percent for fiscal year 1975; 60 percent for fiscal year 1976; and 50 percent for fiscal year 1977. Provides for the inclusion of land acquisition costs and autism under such Act. Title IV: Effective Date - States that this Act is effective with respect to appropriations for fiscal years beginning after June 30, 1974, except that the National Advisory Council on Health Services provision is effective upon enactment.
Bill· HRH.R. 12845 (93rd)referred
United States · United States Congress · 14 February 1974
Community Mental Health Centers Extension Act - Declares the finding of Congress that community care is the most effective and human form of care for the majority of mentally ill and retarded individuals. States that it is the Federal Government's responsibility to insure the expansion of the community mental health center concept. Authorizes appropriations for grants for facilities of public and nonprofit community mental health centers. Provides for grants for specified portions of the cost of operation of such centers under the Community Mental Health Centers Act. States that, where an application for a grant is made, the applicant must provide specified assurances, including that specialized services will be provided for the mental health of children and of the elderly. Sets forth requirements for an applicant providing programs for alcoholism and drug abuse. Limits the amount of appropriations which may be used for the evalutation of programs under this Act. Distinguishes, for purposes of granting assistance, between community mental health centers serving poverty areas and those not serving poverty areas. Provides for grants to community mental health centers for consultation and education services. Authorizes appropriations of such sums as may be necessary for funding such grants. States that no individual, especially alcoholics, narcotic addicts and other persons with drug dependence problems, shall be made the subject of any research carried out with funds provided by specified portions of this Act unless such individual explicitly agrees to become a subject of such research. Repeals specified provisions of the Community Mental Health Centers Act.
Bill· HRH.R. 12835 (93rd)referred
United States · United States Congress · 14 February 1974
Indian Health Care Improvement Act - Declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Directs the Secretary of Health, Education, and Welfare to make scholarship grants to individuals: (1) who are enrolled in medical schools; schools of optometry, osteophathy, dentistry, pharmacy, podiatry, public health, or nursing, or schools licensed by a State to train persons in the allied health professions, and (2) who agree to provide their professional services to Indians after completion of their professional training. Establishes a priority according to which the Secretary shall award scholarship grants under this Act. States that any scholarship grant awarded to any individual under this Act shall be awarded under the condition that such individual will, after the completion of his professional training, provide his professional services to Indians for a reasonable period of time as prescribed by the Secretary. Sets forth a formula by which the United States shall be entitled to recover scholarship grants from individuals who fail to comply with such condition for the full period. Authorizes to be appropriated for this program: $8,000,000 for fiscal year 1975, $16,000,000 for fiscal year 1976, $22,000,000 for fiscal year 1977, $30,000,000 for fiscal year 1978, and $34,000,000 for fiscal year 1979, and for each succeeding fiscal year, such sums as may be necessary to continue to make such grants to individuals who (prior to July 1, 1979) have received such grants and who are eligible for such grants under this Act during such succeeding fiscal year. Directs the Secretary to make scholarship grants for a period not to exceed two academic years to Indians who: (1) have successfully completed their high school education; and (2) have demonstrated a capability to successfully complete a premedical, predental, or preosteopathy course of study. Authorizes to be appropriated for the above program: $1,000,000 for fiscal year 1975; $2,000,000 for fiscal year 1976; and $3,000,000 for each of the next three fiscal years. Permits the Secretary to provide continuing education allowances to Indian Health Service physicians. Authorizes to be appropriated for such programs: $350,000 each year for fiscal years 1975 and 1976; $375,000 for fiscal year 1977, $390,000 for fiscal year 1978, and $410,000 for fiscal year 1979. Title II: Health Services - Authorizes the Secretary to expend over a five-fiscal-year period $123,500,000, in addition to the annual appropriations required to continue the health service program to the Indian people, and to employ additional personnel for the purpose of eliminating backlogs in Indian health care services and to supply known, unmet medical, surgical, dental and other Indian health needs. Title III: Health Facilities - Authorizes the Secretary to expend $400,000,000 over a five-fiscal-year period for the purpose of eliminating inadequate, outdated, and otherwise unsatisfactory service hospitals, health centers, health stations, and other service facilities. Enables the Secretary to expend $470,000,000 within a five-fiscal-year period to supply unmet needs for safe water and sanitary waste disposal facilities in existing and new Indian homes and communities. Directs the Secretary to develop a plan, together with the Secretary of Housing and Urban Development, to assure that the five-year schedule provided for in this Act will be met. Title IV: Access to Health Services - States that the service facilities used to provide health care and services to Indians are hereby deemed to be accredited facilities for the purposes of title XVIII (Medicare) and title XIX (Medicaid) of the Social Security Act. Title V: Access to Health Services for Urban Indians - Defines "Urban Indians", "Urban Indian organization" and "urban center" as used in this Act. Provides that the Secretary shall enter into contracts with urban Indian organizations to provide Federal assistance to such organizations for the purpose of establishing and administering outreach programs to make urban Indians in the urban centers in which such organizations are situated knowledgeable of the health service resources available within such centers and the means of gaining access to those resources. Directs the Secretary to prescribe the criteria for selecting urban Indian organizations with which to contract pursuant to this Act. Authorizes to be appropriated for this program: $3,000,000 for fiscal year 1975; $4,000,000 for fiscal year 1976; and $5,000,000 for fiscal year 1977. Provides that, within six months after the end of fiscal year 1976, the Secretary shall review the above program and shall submit to the Congress his assessment of it and recommendations for any further legislation. Title VI: Miscellaneous - Requires the Secretary to report annually to the President and the Congress on progress made in effecting the purposes of this Act. States that within three months after the end of fiscal year 1978, the Secretary shall review the programs established or assisted under this Act and shall submit to the Congress his assessment and recommendations of additional programs or additional assistance necessary to, at a minimum provide health services to Indians, and insure a health status for Indians, which is at a parity with the health services available to, and the health status of, the general population. Provides that the funds appropriated pursuant to this Act shall remain available until expended.
Bill· HRH.R. 12786 (93rd)referred
United States · United States Congress · 13 February 1974
Mental Health Act - Title I: Mental Health Benefits - Provides that every individual who is a resident of the United States, or who is a nonresident citizen of the United States, shall be eligible to receive the benefits provided by this title. Lists the mental health services covered by this Act and provides that benefits under this Act shall consist of entitlement to have payment made on his behalf, without limit as to duration except as otherwise specifically indicated. States that the recipient of half-way house care shall contribute 100 percent of cost, not to exceed 25 percent of his income, for such care. Sets forth qualifications of psychiatric hospitals for participation in the program under this title, including that it provide active diagnostic, therapeutic, and rehabilitative services with respect to mental illness, and that it be accredited by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary of Health, Education, and Welfare to periodically determine the amount which should be paid under this title to each provider of care and services with respect to the care and services furnished by it. Provides that no payments may be made under title XVIII (Medicare) of the Social Security Act, under any State plan approved under title XIX (Medicaid) of such Act, or under any other Federal law or program, with respect to any care or services for which payment is made under this title. Provides that the program under this title shall be administered by the Secretary with the advice and assistance of a Committee on Mental Health which shall be appointed by the Secretary. Provides that the Committee shall be specifically responsible under the direction of the Secretary for the approval of all providers of care and services for participation in the program under this title and for the establishment of the guidelines and qualifications to be applied to any of such providers not affiliated with any specific psychiatric hospital. Authorizes to be appropriated such sums as may be necessary to carry out this Act, including any sums necessary to establish and maintain a reasonable reserve for the payment of benefits under this Act. Directs the Secretary to conduct a full and complete study of the costs of providing mental health insurance under various conditions and with varying specifications, in order to determine the feasibility of establishing a national program providing such insurance, or expanding the program under this title. Requires the Secretary to submit to the President and the Congress a report on the results of such study together with his recommendations. Provides that the Secretary shall submit annually to the President and to the Congress a full report on the program under this title, including his recommendations for any improvements or modifications therein. Title II: Mental Health Taxes - Imposes a mental health tax, under the Internal Revenue Code, on the income of every individual equal to 0.16 percent of so much of the wages received by him in any calendar year with respect to employment as exceeds the sum of $6,500, plus one-half of the amount by which the regular contribution base for such year exceeds $9,000. (Amends 26 U.S.C. 3101) Imposes on every employer an excise tax, with respect to having individuals in his employ, equal to 0.52 percent of the wages paid by such employer in any calendar year beginning on or after the effective date of the mental health taxes with respect to employment. (Amends 26 U.S.C. 3111) Imposes for each taxable year on the self-employment income of every individual a tax equal to 0.38 percent of so much of the self-employment income for such taxable year as exceeds the sum of $6,500 plus one-half of the amount by which the regular contribution base for such year exceeds $9,000. (Amends 26 U.S.C. 1401) Imposes for each taxable year beginning on or after the effective date of the mental health taxes, on the income of every individual residing in the United States whose mental health unearned income for the taxable year is $400 or more, a tax equal to 0.16 percent of the amount of such mental health unearned income for such taxable year. (Amends 26 U.S.C. 1403, 1404) Makes amendments to the Internal Revenue Code to conform with the above provisions.
Bill· HRH.R. 12778 (93rd)referred
United States · United States Congress · 13 February 1974
Includes, under title XVIII (Medicare) of the Social Security Act, breast prosthesis among the items and services for which payment may be made under the present supplementary medical insurance program of such Act.
Bill· HRH.R. 12777 (93rd)referred
United States · United States Congress · 13 February 1974
Includes, under title XVIII (Medicare) of the Social Security Act, breast prosthesis among the items and services for which payment may be made under the present supplementary medical insurance program of such Act.
Bill· HRH.R. 12812 (93rd)referred
United States · United States Congress · 13 February 1974
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Law· SS. 2994 (93rd)open
United States · United States Congress · 8 February 1974
National Health Planning and Development Act - Directs the Secretary of Health, Education, and Welfare to establish health areas throughout the United States, to which health planning agencies shall be designated. Enumerates the requirements to be met by such health areas and defines "health planning agency" for purposes of this Act. States that a health planning agency for a health area shall be incorporated in the State in which it is allocated and shall not be a subsidiary of or otherwise controlled by any other private corporation or other private legal entity. Provides that each health planning agency shall have a governing body composed of not less than ten members and of not more than thirty members. Enumerates the authorized powers and duties of such governing bodies. Specifies the requirements for membership on a governing body. States that the purposes of health planning agencies are to: (1) improve the health of residents of a health area, (2) increase the accessibility, acceptability, continuity, and quality of the health services provided them, and (3) restrain increases in the cost of providing them health services. Outlines the functions which the agencies shall perform in: (1) providing health planning, development, and in making recommendations regarding regulation for its area; (2) implementing its long-range goal plans and short-term priorities plan; (3) coordinating its activities with the professional standards review organizations; (4) reviewing and recommending proposals and establishing priorities; and (5) assisting planning agencies. Enumerates the procedures to be followed for reviews of proposed health system charges. Provides for assistance to entities desiring to be designated as health planning agencies. States that for the purpose of making such assistance grants, there are authorized to be appropriated $15,000,000 for fiscal year 1974; $20,000,000 for fiscal year 1975; $30,000,000 for fiscal year 1976; and $30,000,000 for 1977. Requires the Secretary to designate a health planning agency for each health area established pursuant to this Act. States that such designation shall be made under an agreement entered into between the Secretary and the entity to be designated as a health planning agency. Details the requirements to be met by such agreements. Directs the Secretary, within one year after the date of enactment of this Act to issue guidelines concerning national health policy. States that the Secretary shall include in the guidelines: (1) requirements respecting the appropriate supply, distribution, and organization of health resources and services; and (2) a statement of national health goals developed after consideration of specified objectives set forth in this Act. Enumerates such objectives. Requires the Secretary to provide health planning agencies and State Health Commission with: (1) model health plans and planning processess; (2) technical materials and standards for use in health planning; and (3) such other technical assistance as they may require to perform their functions. Details the information to be included by the Secretary as technical materials and standards. Provides that the Secretary shall make in each fiscal year a grant to each health planning agency with which there is in effect at the beginning of the fiscal year a designation agreement under this Act. States that the amount of a grant to a health planning agency for any fiscal year may not be less than $150,000. Authorizes to be appropriated, for the purpose of making payments pursuant to such grants, $60,000,000 for fiscal year 1975; $100,000,000 for fiscal year 1976; and $100,000,000 for fiscal year 1977. Empowers the Secretary to make development grants for area health services development funds. Authorizes appropriations for such purposes through fiscal year 1977. Directs the Secretary to review and approve the annual budget of each health planning agency with which there is in effect a designation agreement, and to review at least every three years the structure, operation, and activities of each health planning agency with which there is in effect a designation agreement. Provides for the designation of State Health Commission, initially on a a conditional basis with a view to determining the capacity of such view to such agency to perform the functions prescribed for such Commissions. Sets forth the requirements necessary prior to approval of a State administrative program for the performance within the State by its State Health Commission of the regulatory functions prescribed by this Act, including: (1) to provide for adequate consultation with the Commission's advisory council; (2) to set forth the qualifications for personnel having responsibilities in the administration of such program; and (3) to provide for such methods of administration as are necessary for the proper and efficient administration of such functions and the administrative program. Requires that each State Health Commission for which a designation agreement is in effect with specified exceptions, perform enumerated regulatory functions, including: (1) review annually the long-range goal plan and short-term priorities plan of each health planning agency; (2) review annually the budget of each such health planning agency; (3) review applications; (4) serve as the designated planning agency of the State for the purposes of the Social Security Act; and (5) license health care facilities and health care delivery personnel in the State. Empowers the Secretary to make grants to States to assist in meeting the costs of developing State Health Commissions. Provides that any grant shall be made for development costs incurred in the one year period beginning on the first day of the first month for which such grant is made and may be for an amount which does not exceed 90 percent of such costs. Authorizes appropriations for such grants.
Bill· SS. 2996 (93rd)referred
United States · United States Congress · 8 February 1974
Health Services Research and Development, Health Statistics, and Medical Libraries Act - Title I: Health Services Research Development and Evaluation; Health Statistics - Health Services Research Development, and Evaluation and Health Statistics Act - Authorizes the Secretary of Health, Education, and Welfare to undertake, through the National Centers for Health Services Research and Health Statistics and such other units of the Department as he may select, to support health statistical activities and health services research, evaluation, and demonstration. Declares that the Secretary may do the following: (1) utilize physical resources of the Department, permit the utilization of physical resources of the Department, provide technical assistance and advice, make grants to public and nonprofit private entities and individuals, and enter into contracts for health services research, evaluation, and demonstrations and for health statistical activities; (2) admit and treat at hospitals and other facilities of the Service persons not otherwise eligible for admission and treatment at such facilities; (3) secure the assistance and advice of experts and consultants from the United States or abroad; and (4) acquire, construct, improve, repair, operate, and maintain laboratory, research, and other facilities and equipment, and such other real or personal property (including patents) as the Secretary deems necessary; and acquire buildings or parts of buildings in the District of Columbia or communities located adjacent to the District of Columbia. Establishes in the Department the National Center for Health Services Research and the National Center for Health Statistics. Declares that the Secretary, acting through Centers, may undertake and support research, evaluation, and demonstration projects in specified health services areas. Directs the Secretary to collect statistics in enumerated health areas. Provides that the Secretary shall assist nonprofit entities in meeting the costs of new centers, for multidisciplinary health services research, evaluations, and demonstrations. Sets forth the requirements to be met prior to the making of grants and contracts for such assistance. States that for the purpose of advancing the status of the health sciences in the United States, the Secretary may participate with other countries in cooperative endeavors in biomedical research and the health services, research and statistical activities authorized by this Act. Requires the Secretary to call annual conferences of the health authorities of the several States. Provides that not later than September 1 of each year, the Secretary shall make a report to Congress regarding the administration of this Act during the preceding fiscal year and the current state and progress of health services research and health statistics. Authorizes appropriations for fiscal years 1974 and 1975 to carry out the provisions of this title. Title II: Revision and Extension of Medical Library Assistance Programs - Extends the authorization of appropriation for medical library assistance programs for fiscal years 1974, 1975, and 1976. Makes technical and conforming amendments to the Public Health Service Act.
Bill· SS. 2983 (93rd)referred
United States · United States Congress · 7 February 1974
Urban Hospitals Emergency Assistance Act - Expresses the findings of Congress. Authorizes the Secretary of Health, Education, and Welfare to make grants to public general hospitals to assist such hospitals in meeting the costs of: (1) modernization of patient care facilities in urban areas, and (2) construction or modernization of outpatient facilities of such hospitals located apart from the hospital so that ambulatory care service may be decentralized. Enumerates the eligibility requirements to be met for receiving such grants and the priority of applicants. Authorizes to be appropriated to carry out such grant provisions $100,000,000 for fiscal year 1975, $150,000,000 for fiscal year 1976, and $250,000,000 for fiscal year 1977. Empowers the Secretary to make grants to public and private nonprofit hospitals for special projects to demonstrate innovations in health care delivery construction which implement quality control or improve efficiency in the provision of health services by meeting identified needs, and reducing documented inefficiencies. Authorizes appropriation for fiscal years 1975 through 1977 for such grants. Provides that each public general hospital shall be entitled for each fiscal year to a grant equal to 75 percent of the annual net cost incurred by the hospital for patient care. Sets forth additional grant requirements. Authorizes appropriations for such grants. Provides, under the Public Health Service Act, that each hospital having adopted uniform cost accounting and utilization and reporting systems procedures shall be entitled for each fiscal year to a grant to assist such hospital in meeting the costs of training residents, interns, except noncitizen graduates of foreign medical schools, and individuals preparing for careers in nursing or the allied health professions in programs approved by him after consultation with the appropriate professional accrediting agency or specialty board. Authorizes appropriations for such grants. Defines the terms used in this Act, including "annual net cost of patients care," "low-income person," and "urban". Requires that each recipient of Federal assistance under this Act shall keep such records as the Secretary shall prescribe, including records which fully disclose the amount and disposition by such recipient of the proceeds of such assistance, the total cost of the project or undertaking in connection with which assistance is given or used, the amount of that portion of the cost of the project or undertaking supplied by other sources, and such other records as will facilitate an effective audit. Provides that no funds other than those appropriated under the provisions of this Act may be used for the purposes of this Act.
Bill· HRH.R. 12746 (93rd)referred
United States · United States Congress · 7 February 1974
Community Mental Health Centers Amendments Act - Enumerates the comprehensive mental health services which shall be provided through a community mental health center. Directs that the provision of comprehensive mental health services through a center shall be coordinated with the provision of services by other health and social service agencies in the center's area. Sets forth the elements to be included in applications for Federal grants to community mental health centers, including assurance that the center will provide an adequate reporting system, provide services responsive to the needs of the local population, develop a plan for adequate financing when assistance under this Act is reduced or terminated, and provide a reasonable volume of services for persons unable to pay for them. Sets forth additional criteria for approval of the application by the Secretary of Health, Education, and Welfare. Authorizes the Secretary to make grants to public and nonprofit private community mental health centers to assist them in meeting their costs of operation during the first five years after their establishment. Authorizes the Secretary to make annual grants to any community mental health center for the costs of providing the consultation and education services described in this Act if the center received a staffing grant under this Act or other grants as provided by this Act. Authorizes the Secretary to make grants to public and nonprofit private entities to carry out projects to develop community mental health center programs for areas designated by the Secretary as urban or rural poverty areas. Lists authorized appropriations for grants provided under this Act. Authorizes the Secretary to make financial distress grants for the operation of community mental health centers. Sets forth criteria for such grants. Authorizes the appropriation of $10,000,000 for the fiscal year ending June 30, 1975 and $10,000,000 for the fiscal year ending June 30, 1976 for such grants. Directs the Secretary to pay the Federal share of projects for: (1) the acquisition and/or remodeling of facilities for community mental health centers; (2) the leasing of facilities for such centers; (3) the construction of new facilities or expansion of existing facilities for community mental health centers; and (4) the initial equipment of a facility receiving financial assistance through these methods. Sets forth the method of computation of the Federal share. Directs the Secretary, for each fiscal year, to make allotments from the sums appropriated under this Act to the States on the basis of: (1) population; (2) the extent of the need for community mental health centers; and (3) the financial need of the respective States. Provides that such allotment may not be made to a State unless the State has submitted an approved State plan to the Secretary for community mental health centers. Sets forth the necessary elements to be contained in State plans. Provides for judicial review of any disapproval by the Secretary of projects under State plans. Provides for the recovery by the United States of any community mental health center facility remodeled, constructed, or acquired with funds provided under this Act, at any time within twenty years after completion, if such facility: (1) is transferred to any person or entity not qualified to file an application under this Act; or (2) ceases to be used by a community mental health center.
Bill· HRH.R. 12732 (93rd)referred
United States · United States Congress · 7 February 1974
Provides that blood donations shall be considered as charitable contributions deductible from gross income in the amount of $25 for each pint donated. Limits the amount of such deduction to $125 in any taxable year.
Bill· HRH.R. 12712 (93rd)referred
United States · United States Congress · 7 February 1974
National Cancer Research Act - Title I: Short Title and Declaration of Policy - Declares it to be the purpose of this Act to carry out within five years the goal that cancer research activities of the United States shall be priority oriented and shall be conducted so as to contribute materially to one or more of the following objectives: (1) the expansion of human knowledge of methods in which to detect, prevent, and cure cancer; (2) the development of cancer preventative vaccines, or other preventatives; (3) the improvement of the usefulness and of the dissemination of information from, all cancer-related research activities conducted in the United States; and (4) the development and operation of cancer research facilities, equipment, and supplies, capable of making significant advances in cancer prevention, detection, treatment, and cure. Title II: Coordination of Cancer Research Activities - Establishes, for five years, in the Executive Office of the President the National Cancer Research Council to be composed of the Vice President, a distinguished oncologist, Secretary of Health, Education, and Welfare, Administrator of the National Cancer Research Administration, and Director of the National Institutes of Health. Directs the Council to develop a comprehensive program of cancer research and to resolve differences among various agencies with respect to cancer research. Establishes, for five years, the National Cancer Research Administration, the administrator of which shall plan, direct, and conduct the cancer research activities of the United States; and disseminate information concerning its activities. Authorizes the Administration to acquire property, enter into contracts, use facilities of Federal agencies, and appoint personnel. Requires semiannual reports from the Administration to the Congress. Title III: Miscellaneous - Allows the President to transfer to the Administration for five years any functions of any other department, agency, or officer of the United States which relate primarily to the functions, powers and duties of the Administration. Requires information obtained by the Administration to be available for public inspection. Provides for retention of property rights and patenting by the United States of inventions made in the performance of any work under any contract with the Administration. Allows the administrator to waive all or part of the rights of the United States to an invention if he determines that the interest of mankind and the United States will thereby be served, subject to reservation of an irrevocable, nontransferrable, royalty-free license for the practice of such invention by the United States. Allows the administration to make a monetary award to any person for any medical, scientific, or technical contribution to the Administration, not exceeding $10,000. Directs the Administrator to make annual grants to the American Cancer Society in the fiscal year ending June 30, 1975, and in each of the next four fiscal years. Specifies the determination of the amount of this grant. Requires that funds received by the society under a grant made under this Act shall be used by the society for cancer research and other activities undertaken under its articles of incorporation and bylaws. Title IV: Funding - Imposes on the income of every individual, estate, trust, and corporation a tax equal to 2 percent of the adjusted tax for the taxable year. Authorizes withholding of such tax according to tables prescribed by the Secretary of the Treasury. Appropriates to such fund, sums as are necessary. Terminates such fund on January 1, 1980.
Bill· HRH.R. 12696 (93rd)referred
United States · United States Congress · 7 February 1974
Reduces the age of entitlement to social security benefits from 65 to 62 for men and to 60 for women under titles II (Old-Age, Survivors', And Disability Insurance) and XVIII (Medicare) of the Social Security Act.
Bill· SS. 2970 (93rd)referred
United States · United States Congress · 6 February 1974
Comprehensive Health Insurance Act - Title I: National Health Care Benefits Program. States that the purpose of this title is to provide adequate protection against costs by requiring all employers to offer health care plans to their employees; and to assist the States in making similar plans available to individuals in need of such protection. Requires, under the Social Security Act, that every employer provide to each of his employees under the age of 65 a reasonable opportunity, as determined under regulations prescribed by the Secretary of Health, Education, and Welfare, to obtain coverage for himself and the members of his family under the age 65, at the option of the employee: (1) an employee health care insurance plan approved under this title or an assisted health care insurance plan obtained by the employer; (2) a group practice prepaid health care plan approved under this title; or (3) an individual practice prepaid health care plan approved under this title. States that the employer shall provide an amount equal to at least 75 percent of the cost of that coverage. Prohibits discrimination against an indiviudal with respect to the opportunity for employment, or the compensation, terms, condition, or privileges of employment, because of the individual's health status or the health status of his dependents, except when directly related to the capacity of the individual to perform his duties as an employee. Directs the Secretary to make grants for health care programs to States which have submitted approved plans for the provision of health care benefits to individuals under the age of 65 who are otherwise unable to obtain such benefits. Authorizes appropriations for each fiscal year of sums necessary to carry out this purpose. Directs the Secretary to establish a Federal health care benefits program under which an individual who has attained the age of 65 and is entitled to monthly insurance benefits under Title II of this Act (Old-Age, Survivor's, and Disability Insurance Benefits) shall be entitled to Federal health care benefits under Title XVIII (Medicare). States that the benefits provided under the program shall be at the option of the individual: (1) to obtain coverage under the Federal health care insurance plan, or (2) to have the Secretary pay to any prepaid health care plan approved under this title under which the individual has obtained coverage at a rate which the Secretary determines is reasonable, on behalf of the individual, an amount equal to the cost to the Government of providing coverage under a Federal health care insurance plan, as determined under regulations prescribed by the Secretary. Provides that the Federal health care insurance plan shall impose, with respect to all items and services other than outpatient drugs and biologicals, and other blood and blood product, a per individual deductible equal to a specified percentage of the income base. States that the Federal health care insurance plan shall provide: (1) that an account will be established against which a covered individual may charge the cost of obtaining items and services covered under the plan, without regard to the deductible and coinsurance requirements applicable under the plan; (2) that payment for items and services covered under the plan, other than emergency services, will be made only on the basis of charges against that account; and (3) that payment will be made on the basis of charges against the account for items and services covered under the plan at the applicable reimbursement rates. Authorizes the Secretary to enter into contracts with carriers for the administration of benefits under the Federal health care insurance program. Establishes a Federal Helath Care Benefits Trust Fund. States that the Trust Fund shall consist of such gifts and bequests as may be made together with such amounts as may be deposited in, or appropriated to, such Fund under the provisions of this Act. Sets forth criteria for determining the amount to be aporopriated to the Trust Fund for each fiscal year. Establishes a Board of Trustees to be composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare. States that the duties of the Board of Trustees shall be to: (1) hold the Trust Fund; (2) report to the Congress not later than the first day of April of each year on the operation and status of the Trust Fund during the preceding fiscal year and on its expected operation and status during the current fiscal year and the next two fiscal years; (3) report immediately to the Congress whenever the Board is of the opinion that the amount of the Trust Fund is unduly small; and (4) review the general policies followed in managing the Trust Fund, and recommend changes in such policies, including necessary changes in the provisions of law which govern the way in which the Trust Fund is to be managed. Requires that employee health care insurance plans provide for the following services for each covered individual: (1) inpatient hospital services; (2) physicians' services; (3) medical and other health services; (4) home health services; (5) post-hospital extended care services; (6) outpatient drugs and biologicals; (7) routine dental services for individuals under the age of 13; (8) developmental vision care services, as defined in regulations prescribed by the Secretary routine eye and vision examinations, and eyeglasses, for individuals under the age of 13; and (9) hearing aids and examinations therefor, for individuals under the age of 13. Sets forth limits for employee health care insurance plans, including the following: (1) post-hospital extended care services shall be limited to 100 days per calendar year; (2) home health services must be limited to 100 visits per calendar year; and (3) inpatient hospital services for the treatment of mental illness shall be limited to 30 days per calendar year, with each day of partial hospitalization, as defined in regulations prescribed by the Secretary, counting as one-half day of inpatient services. Enumerates the requirements for meeting the provisions of this Act. States that a group practice pre-paid health care plan must: (1) provide physicians' services (other than infrequently used services, as determined under regulations prescribed by the Secretary) through physicians who are employees or partners of the organization, or through arrangements with one or more groups of physicians engaged in the coordinated practice of their profession for the organization; and (2) meet such requirements concerning its organizational structure and financial arrangements as the Secretary may, by regulation, prescribe. Provides that the Secretary may, by regulation, make such modifications in the requirements imposed by this section as he determines are appropriate with respect to group practice prepaid health care plans offered to employees whose place of employment is outside the United States. Sets forth requirements for approval of individual practice prepaid health care plans, approval of special employee health care programs, and requirements for certification of providers. States that any State dissatisfied with a determination of the Secretary with respect to whether the State is meeting the provisions of this Act may file a petition for review of such determination with the United States court of appeals to the circuit in which such state is located. Stipulates that the court shall have jurisdiction to affirm the action of the Secretary, or to set it aside, in whole or in part. Sets forth judicial remedies and criminal sanctions for noncompliance. Title II: Reduction in Services Privided Under Medical Assistance Programs - Sets forth technical and conforming amendments to the Medical Program. Title III: Sets forth technical and conforming amendments to the Professional Standards Review Program, and the Capital Expenditures Review Program. Title IV - General Provisions: States that if a provision of this Act is held invalid, all other provisions so enacted shall remain in effect.
Bill· HRH.R. 12692 (93rd)referred
United States · United States Congress · 6 February 1974
Eliminates Professional Standards Review Organizations under the Social Security Amendments of 1972. (Repeals 42 U.S.C. 132oc-132oc-19)
Bill· HRH.R. 12684 (93rd)referred
United States · United States Congress · 6 February 1974
Comprehensive Health Insurance Act - Title I: National Health Care Benefits Program. States that the purpose of this title is to provide adequate protection against costs by requiring all employers to offer health care plans to their employees; and to assist the States in making similar plans available to individuals in need of such protection. Requires, under the Social Security Act, that every employer provide to each of his employees under the age of 65 a reasonable opportunity, as determined under regulations prescribed by the Secretary of Health, Education, and Welfare, to obtain coverage for himself and the members of his family under the age 65 at the option of the employee: (1) an employee health care insurance plan approved under this title or an assisted health care insurance plan obtained by the employer, (2) a group practice prepaid health care plan approved under this title, or (3) an individual practice prepaid health care plan approved under this title. States that the employer shall provide an amount equal to at least 75 percent of the cost of that coverage. Prohibits discrimination against an indiviudal with respect to the opportunity for employment, or the compensation, terms, condition, or privileges of employment, because of the individual's health status or the health status of his dependents, except when directly related to the capacity of the individual to perform his duties as an employee. Directs the Secretary to make grants for health care programs to States which have submitted approved plans for the provision of health care benefits to individuals under the age of 65 who are otherwise unable to obtain such benefits. Authorizes appropriations for each fiscal year of sums necessary to carry out this purpose. Directs the Secretary to establish a Federal health care benefits program under which an individual who has attained the age of 65 and is entitled to monthly insurance benefits under Title II of this Act (Old-Age, Survivor's, and Disability Insurance Benefits) shall be entitled to Federal health care benefits under Title XVIII (Medicare). States that the benefits provided under the program shall be at the option of the individual: (1) to obtain coverage under the Federal health care insurance plan, or (2) to have the Secretary pay to any prepaid health care plan approved under this title under which the individual has obtained coverage at a rate which the Secretary determines is reasonable, on behalf of the individual, an amount equal to the cost to the Government of providing coverage under a Federal health care insurance plan, as determined under regulations prescribed by the Secretary. Provides that the Federal health care insurance plan shall impose, with respect to all items and services other than outpatient drugs and biologicals, and other blood and blood product, a per individual deductible equal to a specified percentage of the income base. States that the Federal health care insurance plan shall provide: (1) that an account will be established against which a covered individual may charge the cost of obtaining items and services covered under the plan, without regard to the deductible and coinsurance requirements applicable under the plan; (2) that payment for items and services covered under the plan, other than emergency services, will be made only on the basis of charges against that account; and (3) that payment will be made on the basis of charges against the account for items and services covered under the plan at the applicable reimbursement rates. Authorizes the Secretary to enter into contracts with carriers for the administration of benefits under the Federal health care insurance program. Establishes a Federal Helath Care Benefits Trust Fund. States that the Trust Fund shall consist of such gifts and bequests as may be made together with such amounts as may be deposited in, or appropriated to, such Fund under the provisions of this Act. Sets forth criteria for determining the amount to be aporopriated to the Trust Fund for each fiscal year. Establishes a Board of Trustees to be composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare. States that the duties of the Board of Trustees shall be to: (1) hold the Trust Fund; (2) report to the Congress not later than the first day of April of each year on the operation and status of the Trust Fund during the preceding fiscal year and on its expected operation and status during the current fiscal year and the next two fiscal years; (3) report immediately to the Congress whenever the Board is of the opinion that the amount of the Trust Fund is unduly small; and (4) review the general policies followed in managing the Trust Fund, and recommend changes in such policies, including necessary changes in the provisions of law which govern the way in which the Trust Fund is to be managed. Requires that employee health care insurance plans provide for the following services for each covered individual: (1) inpatient hospital services; (2) physicians' services; (3) medical and other health services; (4) home health services; (5) post-hospital extended care services; (6) outpatient drugs and biologicals; (7) routine dental services for individuals under the age of 13; (8) developmental vision care services, as defined in regulations prescribed by the Secretary routine eye and vision examinations, and eyeglasses, for individuals under the age of 13; and (9) hearing aids and examinations therefor, for individuals under the age of 13. Sets forth limits for employee health care insurance plans, including the following: (1) post-hospital extended care services shall be limited to 100 days per calendar year; (2) home health services must be limited to 100 visits per calendar year; and (3) inpatient hospital services for the treatment of mental illness shall be limited to 30 days per calendar year, with each day of partial hospitalization, as defined in regulations prescribed by the Secretary, counting as one-half day of inpatient services. Enumerates the requirements for meeting the provisions of this Act. States that a group practice pre-paid health care plan must: (1) provide physicians' services (other than infrequently used services, as determined under regulations prescribed by the Secretary) through physicians who are employees or partners of the organization, or through arrangements with one or more groups of physicians engaged in the coordinated practice of their profession for the organization; and (2) meet such requirements concerning its organizational structure and financial arrangements as the Secretary may, by regulation, prescribe. Provides that the Secretary may, by regulation, make such modifications in the requirements imposed by this section as he determines are appropriate with respect to group practice prepaid health care plans offered to employees whose place of employment is outside the United States. Sets forth requirements for approval of individual practice prepaid health care plans, approval of special employee health care programs, and requirements for certification of providers. States that any State dissatisfied with a determination of the Secretary with respect to whether the State is meeting the provisions of this Act may file a petition for review of such determination with the United States court of appeals to the circuit in which such state is located. Stipulates that the court shall have jurisdiction to affirm the action of the Secretary, or to set it aside, in whole or in part. Sets forth judicial remedies and criminal sanctions for noncompliance. Title II: Reduction in Services Provided Under Medical Assistance Programs - Sets forth technical and conforming amendments to the Medical Program. Title III: Sets forth technical and conforming amendments to the Professional Standards Review Program, and the Capital Expenditures Review Program. Title IV - General Provisions: States that if a provision of this Act is held invalid, all other provisions so enacted shall remain in effect.
Bill· HRH.R. 12630 (93rd)referred
United States · United States Congress · 6 February 1974
Includes, under title XVIII (Medicare) of the Social Security Act, breast prosthesis among the items and services for which payment may be made under the present supplementary medical insurance program of such Act.
Bill· HRH.R. 12629 (93rd)referred
United States · United States Congress · 6 February 1974
Prohibits sterilizations which are financed by Federal funds on any person who is under eighteen years of age unless such sterilization is indispensable to prevent a serious threat to a patient's physical health.
Bill· HRH.R. 12647 (93rd)referred
United States · United States Congress · 6 February 1974
Extends the coverage of the National Labor Relations Act to include employees of nonprofit hospitals. States that when a collective bargaining agreement is in effect between a health care institution and a labor organization representative the agreement shall continue in full force and effect, without recourse to strikes, picketing or lockouts, except as expressly permitted by this Act. Prescribes the procedure to be followed in negotiations for renewal of any such agreements. Provides that when a health care institution and a labor organization which is the bargaining representative of its employees enter into negotiations for an initial collective bargaining agreement, such negotiations shall be conducted in accordance with specified procedures without recourse to strikes, picketing or lockouts, except as expressly permitted. Describes the conduct which constitutes unfair labor practices. Provides for not more than four bargaining units in health care institutions (in addition to security guards): (1) professional employees, (2) technical employees, (3) clerial employees, and (4) service and maintenance employees. Gives unfair labor practice charges involving strikes and picketing at health care institutions priority over other cases in NLRB regional offices. Provides a course of action for private persons for injury due to unlawful strikes or lockouts.
Bill· HRH.R. 12656 (93rd)referred
United States · United States Congress · 6 February 1974
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institute of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the program during the preceding year and a plan for the program for the succeeding five-year period to establish programs as necessary in cooperation with other Federal health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Istitute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less than fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 12611 (93rd)referred
United States · United States Congress · 5 February 1974
Provides enrollees of Federal health benefit plans who are eligible to participate in the medicare program with optional coverage supplementary to parts A and B of the medicare program under title XVIII of the Social Security Act. States that such optional coverage shall be included in the Government-wide Service Benefit and Indemnity Benefit plans. Stipulates that the Government contribution for an employee or annuitant who has elected the optional benefits described in this Act shall be in an amount at least equal to the contribution which the Government makes toward the health insurance of any employee or annuitant enrolled for high option coverage under the Government-wide Service Benefit and Indemnity Benefit plans. States that such contribution shall be made in the form of: (1) a contribution toward the protection supplementary to part A or B, or parts A and B, of the medicare program; (2) a payment to or on behalf of such employee or annuitant to offset the cost to him of his coverage under the medicare program; or (3) a combination of such contribution and such payment. Sets forth technical and conforming amendments. Authorizes annual appropriations for the purpose of providing Government contributions to the optional supplementary coverage plan. (Amends 5 U.S.C. 8902-8906)
Bill· HRH.R. 12561 (93rd)referred
United States · United States Congress · 5 February 1974
Provides, under the Social Security Act, for an optional, simplified method of reimbursement for physicians' services under the medicare and medicaid programs for each State on the basis of a fee schedule, uniform throughout such State. States that the fee schedule to be applicable with respect to services rendered in any State shall be determined as follows: (1) the schedule to be in effect in such State for the twelve-month period beginning on the effective date of the schedule shall be proposed by the Governor of the State after consulting with and receiving recommendations from State medical societies or equivalent organizations, and the schedule so proposed shall be approved by the Secretary if he finds that the cost incurred by the Federal Government under title XVIII (Medicare) and title XIX (Medicaid) on account of the services involved for the twelve-month period ending on the December 31 preceding such effective date would have been no higher than they were in fact had such schedule been in effect throughout that twelve-month period, and (2) the schedule to be in effect in such State for any twelve-month period beginning on July 1 after the period to which subparagraph (1) applies shall be the schedule as originally proposed and approved under such subparagraph with specified revisions. States that all physicians in any State in which payments are determined in accordance with a fee schedule may elect whether to participate or not to participate in the program. Authorizes reimbusement to participating physicians in the full fee schedule amounts (with collection of the applicable deductibles and coinsurance from patients becoming the responsibility of the Federal program). (Amends 42 U.S.C. 13950, 13966)
Bill· HRH.R. 12562 (93rd)referred
United States · United States Congress · 5 February 1974
Changes the computation method of allotting funds for vocational rehabilitation services among the States under the Vocational Rehabilitation Act.
Bill· HRH.R. 12596 (93rd)referred
United States · United States Congress · 5 February 1974
National Cancer Act Amendments - Increases the authorization of appropriations under the Public Health Service Act for the basic cancer research and training program and the prevention and control program. Extends such Act for three years with appropriations of $750,000,000 $830,000,000 and $985,000,000 for fiscal years 1975-1977, respectively. Authorizes the awarding of grants for the improvement of basic research laboratory facilities, including those related to biohazard control, as deemed necessary, for the national cancer program.
Bill· HRH.R. 12546 (93rd)referred
United States · United States Congress · 5 February 1974
National Tay-Sachs Disease Screening and Counseling Act - Provides that it is the purpose of this Act to establish a national program, under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1974 for making grants to public and nonprofit entities to establish and operate such screening programs. Sets forth the procedure for applications for and administration of such grants.
Bill· SS. 2949 (93rd)referred
United States · United States Congress · 4 February 1974
Includes, under title XVIII (Medicare) of the Social Security Act, breast prosthesis among the items and services for which payment may be made under the present supplementary medical insurance program of such Act.
Bill· SS. 2952 (93rd)referred
United States · United States Congress · 4 February 1974
National Chronicare Demonstration Center Act - Declares that it is the purpose of this Act to establish demonstration programs to provide a basis for a commitment to a lasting national program for long-term health care for the chronically ill. Authorizes to be appropriated $6,000,000 for fiscal year 1974; $5,000,000 for fiscal year 1975; and $4,500,000 for fiscal year 1976, to enable the Secretary of Health, Education, and Welfare, to make grants to any entity to cover the cost of a project, in an area of the country representative of a rural population, for programs designed to provide a combination of rehabilitative, habilitative, personal support, residential, medical, dental, and mental health services for the chronically ill residents of such area through a community chronicare health center. Authorizes to be appropriated $10,000,000 for fiscal year 1974; $8,000,000 for fiscal year 1975; and $7,000,000 for fiscal year 1976, to enable the Secretary to make grants for the cost of two projects, in areas of the country representative of suburban populations, for the development of programs to provide health services for the chronically ill residents of such area through community chronicare health centers. Authorizes to be appropriated $11,000,000 for fiscal year 1974; $9,000,000 for fiscal year 1975; and $8,000,000 for fiscal year 1976, to enable the Secretary to make grants to cover the cost of two projects, in areas of the country representative of metropolitan populations for the development of programs providing health services for the chronically ill residents of such area through community chronicare health centers. Authorizes to be appropriated $4,500,000 for fiscal year 1974; $4,000,000 for fiscal year 1975; and $3,500,000 for fiscal year 1976, to enable the Secretary to make grants for a project which will operate in conjunction with an existing health maintenance organization which is not currently providing long-term health care. Authorizes to be appropriated $14,000,000 for fiscal year 1974; $11,500,000 for fiscal year 1975; and $9,000,000 for fiscal year 1976, to enable the Secretary to make grants to cover the cost of two projects, for the development of combination programs for the chronically ill residents of an identified population area through community chronicare health centers, in conjunction with a State chronicare commission, and a State chronicare data center. Sets forth the eligibility requirements for such grants. Requires each community chronicare health center assisted under this Act to maintain a therapeutic service team responsible for patient care plans, health status, and service professionals. Directs each State chronicare commission to establish a State chronicare data center for the purpose of gathering and supplying information. Defines the terms used in this Act.