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Bill· SS. 940 (95th)referred
United States · United States Congress · 8 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to extend coverage to include expenses incurred in providing a papanicolaou test for the detection of uterine cancer.
Bill· HRH.R. 4698 (95th)referred
United States · United States Congress · 8 March 1977
Amends Title XIX (Medicaid) of the Social Security Act to assure the individuals otherwise eligible for benefits under such Title do not lose such eligibility, or have the amount of such benefits reduced, because of increases in the amount of benefits under Title II (Old-Age, Survivors, and Disability Insurance) of such Act.
Bill· HRH.R. 4684 (95th)referred
United States · United States Congress · 8 March 1977
Catastrophic Health Insurance and Medical Assistance Reform Act - Title I: Catastrophic Illness Insurance - Establishes a Catastrophic Health Insurance program under the Social Security Act. Sets forth the eligibility criteria for individuals. Provides that every individual who: (1) is a resident of the United States; and (2) is a citizen of, or a lawfully admitted alien in, the United States shall be entitled to catastrophic health insurance benefits provided by this Act in cases where he is not covered by an employer plan. Delimits the scope of benefits, includes therein hospital and related insurance benefits (hospital, post-hospital and home health services) and medical and other health benefits. Provides for a general deductible from: (a) the reasonable costs of inpatient hospital services past 60 days; and (b) inpatient hospital benefits of the higher of the following: (1) $2,000; or (2) $2,000 adjusted by the Consumer Price Index to reflect changes in fees for physician services (in $100 increments). Permits payments for specified mental health care services. Requires the Secretary of Health, Education, and Welfare to promulgate regulations prescribing standards designed to assure that services consisting of the furnishing of blood or blood products, or the application of procedures or courses of treatment which are experimental or extraordinarily complex, will be provided only when such services are appropriate to the health care needs of the patient. Creates, in the United States Treasury, a Federal Catastrophic Health Insurance Trust Fund to provide a reserve for payment of benefits authorized by this Act. States that individuals covered under approved employer or self-employed plans shall be entitled to those benefits rather than the benefits provided by the catastrophic health insurance plan. Defines the term "employer plan" as meaning an insurance policy, contract, or other arrangement entered into between an employer and a carrier, in consideration of premiums or other periodic payments, undertaken to pay for the costs of health services received by the employer's employees. Requires that the coverage provided under such plans must include a package of benefits which is the same as that provided by the Federal catastrophic health insurance benefits plan established under this Act. Sets forth additional requirements governing employer health plans. Establishes an Actuarial Committee to prepare and recommend annually to the Secretary a Table of Values of Catastrophic Health Insurance Coverage, which shall establish the actuarial value of one year's catastrophic health insurance coverage for employers, carriers, and others involved in the programs. Allows an income tax credit under the Internal Revenue Code for the actuarial value of catastrophic health insurance coverage for the self-employed and for the employees covered under approved employer plans. Title II: Medical Assistance Plan for Low-Income People - Requires assistance for low-income individuals and families, for the costs of necessary hospital, skilled nursing facility, medical, and other health care services are provided. Guarantees free choice by patients of health services from any person, institution, or agency qualified under this Act. Permits individuals the option of obtaining other health insurance protection. Describes the medical assistance plan, what individuals are eligible to receive its health benefits, and the application procedure. Enumerates the scope of benefits under the plan, including: (1) 60 days of inpatient hospital services; (2) skilled nursing facility services; and (3) home health services. Prescribes the co-payment requirements and procedures of persons eligible for benefits. Makes special provisions relating to Medicaid recipients and the circumstances under which such persons are eligible for health benefits under this title. Creates the Medical Coverage Trust Fund. Makes provisions for State contributions to the Fund. Prohibits exclusion by employers of specified employees form coverage under group health insurance plans. Title III: Private Basic Health Insurance Certification Program - States that any insurer may provide any health insurance policy to the Secretary for his examination and certification. Sets forth the standards under which the Secretary shall not certify any such insurance policy. Title IV: Amendments to the Medicare Program Immunizations - Authorizes payments for immunizations which the Secretary determines are appropriate under title XVIII (Medicare) of the Social Security Act, but only if provided on a scheduled allowance basis, as determined under regulations promulgated by the Secretary. Extends coverage of the renal disease program authorized under such Act to specified individuals not previously covered. Title V: General Provisions Relating to Health Insurance Under Social Security Act - Requires the Secretary to establish a separate organizational unit within the Department of Health, Education, and Welfare under the direction of the Assistant Secretary for Health Insurance Administration, who shall report directly to the Secretary and who shall have policy and administrative responsibility for the programs established by this Act and by the unemployment compensation, medicare, medicaid, and renal disease programs of the Social Security Act. Expresses the policy of Congress to encourage and expand philanthropic support for health care.
Bill· HRH.R. 4664 (95th)referred
United States · United States Congress · 8 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· SS. 916 (95th)referred
United States · United States Congress · 4 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to include within the meaning of the term "hospital" under such Title, rural health facilities of 50 beds or less. Sets forth exceptions to staffing, health, and safety requirements set forth for hospitals in the definition of such term.
Bill· HRH.R. 4505 (95th)referred
United States · United States Congress · 4 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to extend coverage under the supplemental medical insurance program of such Title to aliens who are, and were on January 1, 1975, permanently residing in the United States under color of law although they are not lawfully admitted for permanent residence.
Bill· HRH.R. 4534 (95th)referred
United States · United States Congress · 4 March 1977
Authorizes a certain retired Public Health Service official to accept employment in the Canadian Department of Agriculture without loss of retirement benefits.
Bill· HRH.R. 4508 (95th)referred
United States · United States Congress · 4 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to increase the inpatient hospital deductible from $40 to $104 in the case of any spell of illness beginning before 1978. Amends the Internal Revenue Code to roll back the time period considered for the purpose of determining the rate of hospital insurance tax on employees, employers, and the self-employed.
Bill· HRH.R. 4518 (95th)referred
United States · United States Congress · 4 March 1977
Amends the Health Programs Extension Act of 1973 to prohibit any entity which receives financial aid from, or enters into any contract with the Secretary of Health, Education, and Welfare from questioning any applicant for admission as a student about the views of the applicant regarding abortion or sterilization. Prohibits such entity from discriminating against any applicant for study because of the refusal of the applicant to participate in the performance of an abortion or other medical services contrary to the religious beliefs or moral convictions of the applicant.
Bill· HRH.R. 4523 (95th)referred
United States · United States Congress · 4 March 1977
Directs the Secretary of Agriculture to make loans through the Agricultural Credit Insurance Fund to agricultural producers in the United States who sustain losses incurred on or after January 1, 1973 as a direct result of contamination of their food crops, animal feedcrops, livestock (including poultry), or livestock products by toxic chemicals at levels dangerous to the public health or at such levels that the Secretary determines that the contamination has adversely affected the economic viability of the farming operation. Sets a maximum loan amount of $250,000, a term of seven years, and leaves the interest rate to the Secretary's discretion, not to exceed three percent. Requires repayment of the loan up to the amount of the compensation within three months of the receipt of any compensation for losses for which the loan was made. Permits the Secretary to postpone all but a nominal amount of principal and interest payments for up to three years.
Bill· HRH.R. 4510 (95th)referred
United States · United States Congress · 4 March 1977
Amends Title XI General Provisions and Professional Standards Review of the Social Security Act to establish and revise areas of the Professional Standards Review Organizations established under such Title, taking into account the recommendations of doctors of medicine and osteopathy. Directs the National Professional Standards Review Council to conduct a study for the purpose of evaluating whether, and under what conditions, organizations other than professional associations shall be allowed to perform review functions. Requires each Professional Standards Review Organization to assume responsibility for professional standards review of health care services furnished by or in institutions operated by the Public Health Service and the Veterans Administration in the area which it serves. Requires, in conjunction with such reviews, that procedures be developed whereby deficiencies shall be brought to the attention of administrators of the hospitals and other Federal institutions concerned. Calls for the consolidation of data and reports compiled under these provisions. Directs that criteria of health care shall be identified or developed by each Professional Standards Review Organization, giving due consideration to such criteria of care identified or developed by national medical specialty organizations. States that such criteria of care shall be used by the Professional Standards Review Organization as guides of care. Requires the National Professional Standards Review Council to provide for the distribution to each Professional Standards Review Organization, and to each other agency performing review functions, of appropriate materials indicating various guides being utilized in other geographical areas. Makes provisions to protect the confidentiality of medical records. Authorizes the Secretary of Health, Education, and Welfare to enter into a contract with any State medical society or private nonprofit organization (including medical foundations) designated by a State medical society for the provision of necessary technical and other assistance in the creation and operation of local professional standards review organizations. Limits the members of the National Professional Standards Review Council to three terms of three years each. Removes specified restrictions on payment to providers of services. Authorizes the use of specified funds; including the Federal Hospital Insurance Trust Fund, for direct reimbursement to an organization which has conducted utilization review activities with respect to services furnished under the Medicare, Medicaid, and Maternal and Child Health and Crippled Children's Services programs of the Social Security Act.
Bill· HRH.R. 4499 (95th)referred
United States · United States Congress · 4 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for occupational therapy services under the supplementary medical insurance program.
Resolution· HCONRESH.Con.Res. 140 (95th)referred
United States · United States Congress · 4 March 1977
Expresses the sense of the Congress that every individual who has undergone extensive radiation treatment for tonsil, adenoid, thymus, or similar problems should be made aware of the potential risk of developing cancer because of such treatments, and of the need for regular physical checkups as a result of the risk.
Bill· HRH.R. 4465 (95th)referred
United States · United States Congress · 3 March 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.
Bill· HRH.R. 4483 (95th)referred
United States · United States Congress · 3 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to require skilled nursing facilities participating in the Medicare program to comply with relevant provisions of the 1976 edition of the Life Safety Code of the National Fire Protection Association.
Bill· HRH.R. 4424 (95th)referred
United States · United States Congress · 3 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for one comprehensive physical examination a year, dental care including dentures, eye examinations including eyeglasses, hearing aids including examination, treatment of foot conditions. Directs the Secretary of Health, Education, and Welfare to take steps to eliminate unnecessary or excessive medical appliance expenditures under the Medicare program by implementing appliance leasing, auditing of medical appliance manufacturers and providers, and by cross-referencing prevailing medical appliance rates. Includes under the term "medical appliance" hearing aids, eyeglasses, dentures, and similar health aids. States that the Federal Trade Commission should continue and increase scrutiny of the medical appliance industries in the interest of consumer protection. States that the Secretary of Health, Education, and Welfare should provide increased assistance to encourage the continuing education and training of hearing specialists, clinical audiologists, and physicians to improve the quality of hearing care, and to encourage the provision by State local governments of more and better hearing care for the elderly, including a network of examination and treatment sites.
Bill· HRH.R. 4412 (95th)referred
United States · United States Congress · 3 March 1977
National Health Care Act - Title I: Findings and Declaration of Purpose - Expresses the finding of Congress that many Americans find it difficult to secure quality health care when they need it. Declares the purpose of the Act to be the improvement of the organization, delivery, and financing of health care for all citizens of the United States. Title II: Provisions to Strengthen Health Planning - Directs the States, as part of their review of institutional health services, to designate unneeded services as surplus. States that surplus service shall be considered as though it has been denied a certificate-of-need. Establishes under the Secretary of Health, Education, and Welfare, a system of grants to reimburse health care institutions which incurred expenses in developing facilities which were later declared surplus. Authorizes State health planning and development agencies to establish a health data consortium to serve the common data needs of itself and specified groups including health care institutions, insurance companies underwriting health insurance plans, and Health Systems Agencies. Requires the Secretary to issue guidelines to be used in establishing certificate-of-need programs and in evaluating the need for new institutional health services. Title III: Provisions to Encourage Comprehensive Ambulatory Health Care Centers - Authorizes grants for the construction and modernization of comprehensive ambulatory health care centers. Places priority upon the construction of such facilities located in densely populated areas where such facilities do not now exist. Directs that in order to participate in programs pursuant to this title the States must submit a plan which includes a listing of comprehensive ambulatory health care centers needed to provide adequate ambulatory health care services for patients residing in the State. Title IV: Provisions to Assure a Coordinated National Health Policy - Requires the President to transmit to the Congress not later than July 1 of each year a health report setting forth the present status of the health care system of the Nation with an appraisal of trends and a review of the health programs and activities of the Federal, State and local governments. Creates a Health Policy Board which shall study the Nation's health care programs and make recommendations to the President concerning such programs. Directs the Board to consult with other advisory bodies and representative groups in carrying out its responsibilities. Directs all agencies of the Federal Government to include in every major action, statements regarding the effect of such action on the nation's health care. Title V: Provisions to Make Comprehensive Health Care Insurance Available to All - Establishes minimum standard health care benefits. Specifies that such standard shall be 100 percent of specified examinations, X-rays and laboratory tests and 80 percent of specified hospital, surgical, professional, and ambulatory health care. Prohibits, after a transitional period, any deductions by an employer for payments to an employee health care plan unless the plan offers coverage to the employees' family, the employer pays at least 50 percent of the plan's cost, and the plan provides the minimum health care benefits specified by this title. Allows an unlimited personal deduction for premiums paid by the taxpayer for a health care plan covering himself or his dependents which provides the minimum benefits specified by this Act. Specifies such minimum health care benefits, including basic dental, maternal, child, family planning and mental health care, which must be extended by health plans in order to qualify for the income tax deductions provided by this Act. Requires that such plans provide an annual deductible of $100, with a carryover of any unused portion. Prohibits the award of damages for the cost of remedial services for which a party is compensated under this Act, in any malpractice action arising out of the furnishing of services covered under a health care plan or under the Social Security Act. Adds to the Social Security Act, "Title XXI - Grants to States for Qualified State Health Care Plans". Authorizes the appropriation of such funds as necessary to provide comprehensive health care insurance to needy individuals and families. Allows individuals or families eligible for enrollment in the qualified State health care plan to elect coverage under an arrangement between the administering carrier and an approved health maintenance organization. States that every resident individual or family who is not eligible to enroll in a qualified employee health care plan, who is enrolled in the supplementary medical insurance program for the aged and who meets the requirements concerning income, shall be eligible to enroll in the qualified State health care plan. Sets forth a formula for determining premium rates to be paid by participating individuals and families. States that in the operation of a qualified State health care plan no charge for services rendered or supplies furnished by any hospital, skilled nursing facility, or home health agency shall be reimbursed to the extent that such charges exceed the rates approved by a State health care institution cost commission established pursuant to this Act. Makes it the duty of the Secretary of Health, Education, and Welfare to review the level of rates of institutional reimbursement approved by the commission for such categories of health care institutions as shall be established by the Secretary. Requires the Secretary to order a reduction in the level of rates approved for a given category of health care institution upon a determination that such rates are unjustifiably high. Stipulates that each State must establish a health care benefits pool. Directs that the premiums collected pursuant to Title XXI, as introduced in this Act, be paid into the pool. Makes such pool available to pay claims and other specified expenses associated with the program. Prohibits any class of individuals or families receiving all, or substantially all, of their medical care under a Federal program from receiving coverage under a qualified State health care plan unless the Federal Government provides payment as required by the Act. Makes the State insurance commissioner responsible for assuring the establishment and regulation of a facility to underwrite or reinsure minimum standard health care benefits for individuals, families, and groups of less than 50 employees or members to whom such benefits would not otherwise be available.
Bill· HRH.R. 4232 (95th)referred
United States · United States Congress · 1 March 1977
Establishes a Commission on Genetic Research and Engineering to study and evaluate present laws and regulations concerning genetic research and engineering. Requires the Commission to review and make recommendations with respect to genetic research and engineering conducted by Federal agencies.
Bill· HRH.R. 4226 (95th)referred
United States · United States Congress · 1 March 1977
Medicaid Mental Health Amendments- Amends Title XIX (Medicaid) of the Social Security Act to extend medical assistance under such Title to all persons in need of mental health services regardless of age.
Bill· HRH.R. 4211 (95th)referred
United States · United States Congress · 1 March 1977
Amends the Public Health Service Act to direct the Secretary of Health, Education, and Welfare to establish by regulation a uniform functional accounting system and statistical system for the purpose of calculating the reasonable cost of services provided by health services institutions. Amends Titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require providers of services to use such uniform accounting and statistical systems in determining the cost of services provided under the provisions of such Titles.
Bill· HRH.R. 4179 (95th)referred
United States · United States Congress · 1 March 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide that podiatrists shall be treated the same as doctors of medicine for certification, claims payment, and related purposes. Includes the cutting and removal of warts when done as routine foot care in the coverage provided under the Medicare supplementary medical insurance program.
Bill· HRH.R. 4170 (95th)referred
United States · United States Congress · 1 March 1977
Continuing Care Consumer Protection Act - Directs that no federally assisted continuing care institution, including such institutions which are engaged in interstate commerce, may require any transfer of property, or any cash payment in addition to or in lieu of the institution's regular periodic charges for the care and services involved from any individual in return for, or as a condition of the provision to such individual of, medical, nursing, custodial, or other long-term care except under, and in accordance with, a written contract or agreement which sets forth the rights and obligations of the institution and such individual. Sets forth requirements which must be met by such contracts in order to conform to this Act, including; (1) full written financial disclosure to potential patients prior to the time the contract is entered into; (2) a complete description of the services to be rendered; (3) a description of the method by which any payment is to be made; and (4) a statement that termination of the contract will be permitted upon 90-days notice to the nonterminating party. Requires that the financial records of each institution subject to this Act shall be audited not less than once each year. Directs each such institution to maintain financial reserves sufficient to meet its obligations under continuing care contracts. Specifies that in any case where an institution subject to this Act is in the process of construction or major rehabilitation at the time a payment is made to it, such payment shall be held in escrow. States that any institution which fails to comply with the requirements of this Act shall be guilty of a misdemeanor and shall upon conviction thereof be fined not more than $5,000. Allows any party to a continuing care contract, injured by reason of the institution's noncompliance with this Act, to sue therefor in the district court of the United States without respect to the amount in controversy, and shall be entitled to recover damages together with the cost of suit, including reasonable attorney's fees.
Bill· SS. 784 (95th)referred
United States · United States Congress · 24 February 1977
Amends the Health Programs Extension Act of 1973 to prohibit any entity which receives financial aid from, or enters into any contract with, the Secretary of Health, Education, and Welfare from questioning any applicant for admission as a student about the views of the applicant regarding abortion or sterilization. Prohibits such entity from discriminating against any applicant for study because of the refusal of the applicant to participate in the performance of an abortion or other medical services contrary to the religious beliefs or moral convictions of the applicant.
Bill· HRH.R. 4097 (95th)referred
United States · United States Congress · 24 February 1977
Amends Title XIX (Medicaid) of the Social Security Act to assure the individuals otherwise eligible for benefits under such Title do not lose such eligibility, or have the amount of such benefits reduced, because of increases in the amount of benefits under Title II (Old-Age, Survivors, and Disability Insurance) of such Act.
Bill· HRH.R. 4081 (95th)referred
United States · United States Congress · 24 February 1977
Amends the Federal Aviation Act of 1958 to prohibit the entrance into or operation within the United States of any civil supersonic aircraft engaged in commercial service which generates a noise level in excess of the level in effect for new subsonic aircraft.
Bill· HRH.R. 4098 (95th)referred
United States · United States Congress · 24 February 1977
Amends Title XIX (Medicaid) of the Social Security Act to assure the individuals otherwise eligible for benefits under such Title do not lose such eligibility, or have the amount of such benefits reduced, because of increases in the amount of benefits under Title II (Old-Age, Survivors, and Disability Insurance) of such Act.
Bill· HRH.R. 4099 (95th)referred
United States · United States Congress · 24 February 1977
Amends Title XIX (Medicaid) of the Social Security Act to assure the individuals otherwise eligible for benefits under such Title do not lose such eligibility, or have the amount of such benefits reduced, because of increases in the amount of benefits under Title II (Old-Age, Survivors, and Disability Insurance) of such Act.
Bill· HRH.R. 4078 (95th)referred
United States · United States Congress · 24 February 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care including eyeglasses, under the supplementary medical insurance program.
Bill· HRH.R. 4009 (95th)referred
United States · United States Congress · 24 February 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for certain clinical psychologists' services under the supplementary medical insurance program.
Bill· HRH.R. 4008 (95th)referred
United States · United States Congress · 24 February 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 4010 (95th)referred
United States · United States Congress · 24 February 1977
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 4006 (95th)referred
United States · United States Congress · 24 February 1977
Medicare Long-Term Care Act - Amends Title XVIII (Medicare) of the Social Security Act to establish a voluntary program to provide long-term care benefits for aged and disabled individuals who elect to enroll under such program, financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government and contributions by States. Lists criteria for eligibility for long-term care service benefits. States that the benefits provided to an individual under this Act shall consist of (1) home health services, (2) homemaker services, (3) nutrition services, (4) long-term institutional care services, (5) day care and foster home services, and (6) community mental health center outpatient services. Enumerates the requirements for certification of a State long-term care agency by the Secretary of Health, Education and Welfare. Provides for the payment of premiums for benefits received under this Act by individuals who elect to participate in the long-term care program. Establishes on the books of the Treasury of the United States a trust fund to be known as the Federal Long-Term Care Trust Fund. Creates a Board of Trustees of such Trust Fund, composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education and Welfare, all ex officio. States that the Secretary of the Treasury shall be the Managing Trustee of the Board of Trustees and that the Commissioner of Social Security shall serve as the Secretary of the Board. Requires the Board to meet at least once each calendar year. Enumerates the duties of the Board. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual who (a) is eligible for benefits under this part, (b) resides in the area served by such center, and (c) is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) perform such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Sets forth a formula by which payments to States for the reimbursement of community long-term care centers may be calculated. Directs the Secretary, after consultation with organizations representing the chief executives of the various States, and other interested parties, to develop and make available to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act on a prospective method, it may not alter its election without the prior approval of the Secretary. Provides that whenever the Secretary finds that the number of community long-term care centers electing a particular prospective payment method promulgated in accordance with this Act is not sufficient to provide an adequate basis for either the operation or evaluation of that method, the Secretary shall withdraw that method and allow the community long-term care centers which have elected such method to select another method within 30 days of notice of such withdrawal. Permits a Governor of a State to certify to the Secretary a method of prospective payment other than those promulgated under this Act. States that the determination of whether an individual is entitled to benefits under this Act shall be made by the Secretary in accordance with regulations prescribed by him. Provides for increases in supplemental security income benefits.
Bill· HRH.R. 4015 (95th)referred
United States · United States Congress · 24 February 1977
Communicative Health Care Amendments -- Amends Title XVIII (Medicare) of the Social Security Act to include in the coverage under such Title health care for communicative disorders including preventive, diagnostic, treatment, and rehabilitative functions. Provides that payments presently made to hospitals under the Medicare program for services provided by an outside resource shall be payable directly to such outside resource provider. Defines the term "communicative services' to include speech pathology and audiology services furnished by a physician or other qualified health professional.
Bill· HRH.R. 4011 (95th)referred
United States · United States Congress · 24 February 1977
Health Security Act - Title I: Health Security Benefits - Makes every resident of the U.S. (and every non-resident citizen when in the U.S.) eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Extends coverage to all necessary professional services of physicians, wherever furnished. Extends coverage to: (1) comprehensive dental services (exclusive of most orthodontic services) for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered; (2) inpatient and outpatient hospital services and services of a home health agency; and (3) pathology and radiology services as parts of institutional services. Limits payment for skilled nursing home care. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Extends coverage to two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Lists approved medicines available for use in institutions and by comprehensive health service organizations and those available for use outside such organized settings. Declares that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Extends coverage to professional services of optometrists and podiatrists, subject to regulations, and diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. Excludes from coverage: (1) health services furnished or paid for under a workmen's compensation law; and (2) services of a professional practitioner if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Makes professional practitioners licensed when the program becomes eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to existing State standards. Establishes conditions of participation for general hospitals. Makes psychiatric hospitals eligible to participate only if the Board finds that the hospital is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Allows the participation of the following as providers of health services under this Act: (1) a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients; (2) a foundation sponsored by a county or other local medical society; and (3) community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of medical services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when acting as an employee. Allows reimbursement for any services furnished by such institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State. Grants similar authority to other professional and nonprofessional health personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Directs that three separate accounts be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Make provision for allocation of the Health Services account among the regions of the country. Stipulates that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Directs the Board to divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Stipulates that payments for covered services provided to eligible persons by participating providers shall be made from the Health Service Account in the Trust Fund. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Stipulates that skilled nursing homes and home health agencies shall be paid in the same manner as a general hospital (on an approved annual budget basis). Stipulates that a health organization shall be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services; and (2) to organizations providing comprehensive ambulatory care, to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Requires that the members be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Directs the Advisory Council to advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, and reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services and the administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Authorizes the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. Stipulates that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to one percent on employees and 3.5 percent on employers. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent. Adds a new one percent Health Security Tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act; and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commission shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Requires that after the effective date of benefits received under this Act no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of the Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· HRH.R. 3917 (95th)referred
United States · United States Congress · 23 February 1977
National Home Health Care Act - Broadens the coverage of home health services under Title XVIII (Medicare) of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the individual could otherwise obtain in a skilled nursing facility. Amends Title XIX (Medicaid) of the Social Security Act to require the inclusion of home health services in a State's Medicaid program and permit the payment of rent under such program for elderly and handicapped persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low-income housing program. Establishes, in the Department of Health, Education, and Welfare, a Home Health Patient Ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled: (2) provide safeguards against over-charging for home health services; (3) identify abuses against home health patients; (4) receive, handle, and expedite complaints by home health patients; (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable; and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Requires the Secretary of Health, Education, and Welfare to conduct a study and report to the Congress on the feasibility of extending to the Medicare program the prospective cost-related method of computing payments to nursing homes and home health agencies which is currently provided under the Medicaid program.
Bill· HRH.R. 3938 (95th)referred
United States · United States Congress · 23 February 1977
Amends Title XVIII (Medicare) of the Social Security Act to expand the coverage of the supplementary medical insurance program to include services furnished by physician extenders and clinical staff of community mental health centers.
Bill· HRH.R. 3916 (95th)referred
United States · United States Congress · 23 February 1977
National Home Health Care Act - Broadens the coverage of home health services under Title XVIII (Medicare) of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the individual could otherwise obtain in a skilled nursing facility. Amends Title XIX (Medicaid) of the Social Security Act to require the inclusion of home health services in a State's Medicaid program and permit the payment of rent under such program for elderly and handicapped persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low-income housing program. Establishes, in the Department of Health, Education, and Welfare, a Home Health Patient Ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled: (2) provide safeguards against over-charging for home health services; (3) identify abuses against home health patients; (4) receive, handle, and expedite complaints by home health patients; (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable; and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Requires the Secretary of Health, Education, and Welfare to conduct a study and report to the Congress on the feasibility of extending to the Medicare program the prospective cost-related method of computing payments to nursing homes and home health agencies which is currently provided under the Medicaid program.
Bill· HRH.R. 3904 (95th)referred
United States · United States Congress · 23 February 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 3903 (95th)referred
United States · United States Congress · 23 February 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.
Bill· HRH.R. 3882 (95th)referred
United States · United States Congress · 23 February 1977
Federal Nonsmokers Protection Act - Prohibits smoking in specified areas of Federal facilities and in interstate passenger carrier facilities. Requires the effective separation of smokers from non-smokers in certain areas of such facilities. Requires that nonsmoking employees in Federal facilities be given the opportunity to be assigned to physically distinct offices or workplaces from those who smoke, whenever possible. Makes the executive head or chief administrative officer of each instrumentality responsible for the enforcement of these prohibitions in any Federal facility in which such instrumentality maintains offices. Requires such officers to submit an annual report on the enforcement of these prohibitions to the Administrator of General Services. Establishes civil penalties for individuals who smoke in any area of an interstate passenger carrier facility where smoking is prohibited under this Act. Requires that "No Smoking" signs be posted in specified areas.
Bill· HRH.R. 3878 (95th)referred
United States · United States Congress · 23 February 1977
Public Health Cigarette Smoking Act - Makes it unlawful, under the Federal Cigarette Labeling and Advertising Act, for any person to manufacture, import, or package for sale or distribution within the United States any cigarettes the package of which (1) fails to bear the required health warning statement; and (2) fails to bear a statement of the tar and nicotine content of each cigarette in such package, as determined by the Federal Trade Commission. States that it shall be unlawful for any person to disseminate or cause to be disseminated any cigarette advertisement which fails to contain the required statements and which is either disseminated by United States mails or in commerce or which is likely to induce, directly or indirectly, the purchase in, or have an effect upon, commerce of cigarettes. Requires cigarettes for export to contain the required statements in the language of the country to which such package is exported.
Bill· SS. 754 (95th)referred
United States · United States Congress · 22 February 1977
Health Services Research, Health Statistics, Medical Libraries, Biomedical Research and Research Training Extension Act - Amends the Public Health Service Act to authorize appropriations through fiscal year 1978 for: health services, research, evaluation, and demonstration activities supported by such Act; health statistics medical libraries; cancer control programs; the National Cancer Institute; heart, blood, lung, and blood disease prevention and control programs; the National Heart, Lung, and Blood Institute; and National Research Service Awards.
Bill· SS. 755 (95th)referred
United States · United States Congress · 22 February 1977
Health Services, Hemophilia and Health Planning and Development Extension Act - Title I: Amendments to the Public Health Service Act - Amends the Public Health Service Act to extend through fiscal year 1978 the assistance programs for comprehensive public health services, migrant health, community health centers, hemophilia programs, and national health planning and development and health resources development. Repeals the provision of the Public Health Service Act which authorizes project grants to public and nonprofit private agencies for training, studies, and demonstrations for developing comprehensive health plans. Title II: Amendments to the Community Mental Health Centers Act - Amends the Community Mental Health Centers Act to extend through fiscal year 1978 grants for community mental health centers planning and operations. Extends the time period during which the Secretary of Health, Education, and Welfare must act on an application for a grant to plan a community mental health center to 120 days after the date of submission of the application.
Bill· HRH.R. 3782 (95th)referred
United States · United States Congress · 22 February 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
Bill· HRH.R. 3779 (95th)referred
United States · United States Congress · 22 February 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for nutritional counseling as part of the home health services provided under the supplementary medical insurance program.
Bill· HRH.R. 3735 (95th)referred
United States · United States Congress · 22 February 1977
Amends Titles XVIII (Medicare), XIX (Medicaid), and XX (Grants to States for Services) of the Social Security Act to establish the Special Commission on Quality Assurance and Utilization Control in Home Health Care. States that the Commission shall be composed of 20 members appointed by the Secretary of Health, Education, and Welfare. Sets forth the fields of experience and expertise from which Commission members are to be drawn, including five representatives of professional groups with expertise in accreditation and three who are recipients of benefits under Medicare, Medicaid, or under a State plan of services. Requires Senate approval of the member designated chairman of the Commission. States that the function and duty of the Commission shall be: (1) to conduct a full and complete study, investigation, and review of the provision of home health care and services to individuals in the United States, including care and services furnished by agencies which do not qualify as providers of services under the Social Security Act as well as care and services furnished by agencies which do so qualify, with the particular objective of determining: (a) the extent to which additional quality assurance and utilization control in the provision of such care and services is needed; and (b) the manner in which the standards, conditions, and requirements of Title XVIII, Title XIX, or Title XX should be modified in order to provide additional assurance and control; and (2) to develop, on the basis of such study, investigates and review a detailed plan for quality assurance and utilization control in home health care. Directs the submission to the Secretary and the Congress of the required plan within one year of the appointment of the majority of the members of the Commission. Requires the Secretary, within 90 days of the submission of such plan, to issue regulations making such modifications in the Social Security Act as may be necessary to implement the plan and carry out the Commission's accompanying recommendations, and to submit to the Congress any recommendations which would require a change in existing law.
Resolution· HCONRESH.Con.Res. 121 (95th)referred
United States · United States Congress · 22 February 1977
Expresses the sense of the Congress that every individual who has undergone extensive radiation treatment for tonsil, adenoid, thymus, or similar problems should be made aware of the potential risk of developing cancer because of such treatments, and of the need for regular physical checkups as a result of the risk.
Bill· SS. 751 (95th)referred
United States · United States Congress · 21 February 1977
Directs the Secretary of Agriculture to make loans through the Agricultural Credit Insurance Fund to agricultural producers in the United States who sustain losses incurred on or after January 1, 1973, as a direct result of contamination of their food crops, animal feedcrops, livestock (including poultry), or livestock products by toxic chemicals at levels dangerous to the public health or at such levels that the Secretary determines that the contamination has adversely affected the economic viability of the farming operation. Sets a maximum loan amount of $250,000, a term of seven years, and leaves the interest rate to the Secretary's discretion, not to exceed three percent. Requires repayment of the loan up to the amount of the compensation within three months of the receipt of any compensation for losses for which the loan was made. Permits the Secretary to postpone all but a nominal amount of principal and interest payments for up to three years.
Bill· HRH.R. 3697 (95th)referred
United States · United States Congress · 17 February 1977
Amends the Public Health Service Act to allow medical facilities to be reimbursed by the Federal Government for emergency medical treatment given aliens unlawfully in the United States if such aliens are unable to pay the cost of such treatment or can pay only a part of the cost and the aliens or medical facilities which provided such treatment are not eligible under any public assistance program for payment or reimbursement of such cost. Requires that an application for reimbursement be submitted to the Secretary of Health, Education, and Welfare. Sets forth criteria for determining whether such an application shall be approved.
Bill· HRH.R. 3653 (95th)referred
United States · United States Congress · 17 February 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.