Healthcare

A joint resolution designating May 1990 as "National Digestive Disease Awareness Month".

United States · United States Congress · 7 February 1990

Designates May 1990 as National Digestive Disease Awareness Month.

A joint resolution designating the week of April 15, 1990, through April 21, 1990, as "National Minority Cancer Awareness Week".

United States · United States Congress · 7 February 1990

Designates the week of April 15 through April 21, 1990, as National Minority Cancer Awareness Week.

To amend section 1867 of the Social Security Act to provide for strict liability of hospitals and physicians in the case of improper denial of services to individuals with an emergency medical condition, and for other purposes.

United States · United States Congress · 7 February 1990

Amends title XVIII (Medicare) of the Social Security Act to make hospitals and physicians strictly liable for the improper denial of hospital care to individuals with emergency medical conditions. Expands the applicability of whistleblower protections.

To permit a physician in solo or group practice to bill under the medicare program for physicians' services covered by another physician on an occasional basis.

United States · United States Congress · 7 February 1990

Permits the reimbursement of a patient's regular physician under title XVIII (Medicare) of the Social Security Act for services provided to such patient by another physician who occasionally covers for the regular physician.

Expressing the sense of the Congress that this Nation continue to affirm fully and to enforce antidrug laws at all levels of government while unequivacally rejecting proposals to legalize illicit drugs.

United States · United States Congress · 7 February 1990

Calls upon all levels of government to continue efforts to enforce antidrug laws and to discourage the use of illegal drugs. Opposes the legalization of such controlled substances.

A bill to amend the Organ Transplant Amendments Act of 1988 to change an effective date.

United States · United States Congress · 6 February 1990

Amends the Organ Transplant Amendments Act of 1988 to make certain amendments to the description of a qualified organ procurement organization effective on January 1, 1991. (Current law excludes from the application of those amendments an organ procurement organization designated under specified provisions of the Social Security Act until two years after the initial designation of the organization under such provisions.)

Medicare Supplemental Insurance Reform Act of 1990

United States · United States Congress · 6 February 1990

Medicare Supplemental Insurance Reform Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to prohibit a Medicare supplemental policy from being sold in any State if the policy's premium exceeds its premium for the previous year by a percentage greater than the projected percentage increase in Medicare costs, unless the premium increase has been approved by the State pursuant to a specified process providing for the detailed review of the reasonableness of such increase. Prohibits the sale of a Medicare supplemental policy which has neither been certified by the Secretary of Health and Human Services as meeting NAIC (National Association of Insurance Commissioners) Model Standards and returning a specified percentage of premiums as benefits, nor determined by a State regulatory program to be returning the requisite percentage of premiums as benefits. Increases the percentage of premiums which must be returned to policyholders as benefits. Requires that each State having a Medicare supplemental policy regulatory program maintain and make available to consumers a listing of the most recent year's ratio of benefits provided to, and premiums collected for, each policy sold in the State.

To amend the Organ Transplant Amendments Act of 1988 to change an effective date.

United States · United States Congress · 6 February 1990

Amends the Organ Transplant Amendments Act of 1988 to make certain amendments to the description of a qualified organ procurement organization effective on January 1, 1991. (Current law excludes from the application of those amendments an organ procurement organization designated under specified provisions of the Social Security Act until two years after the initial designation of the organization under such provisions.)

Year 2000 Health Objectives Planning Act

United States · United States Congress · 1 February 1990

Health Objectives 2000 Act - Amends the Public Health Service Act to authorize appropriations for allotments to States for developing and implementing a plan to develop and collect data on the public health needs and status of State residents. Requires the plan to provide, for FY 1993 and thereafter, for use of the allotments for additional purposes described in specified provisions relating to preventive health and health services block grants. Requires the State plan to contain, among other elements, a set of at least five State health objectives chosen from the National Health Priorities described by the Secretary of Health and Human Services under this Act. Directs the Secretary to establish: (1) the National Health Objectives Advisory Committee; (2) National Health Priorities (NHPs) to form the basis for all activities that receive assistance under this Act; (3) from the NHPs, a set of Core Priorities that shall be included in each State Plan; and (4) an estimate of the personnel and training needed to accomplish the NHPs. Directs the Secretary, from the amounts made available for allotments, to use: (1) a limited amount for the professional training of public health personnel; and (2) remaining amounts to assist research, pilot, and demonstration projects, and programs the Secretary determines to show the potential impact of regional or national significance with respect to NHPs. Repeals specified provisions relating to preventive health and health services block grants.

Primary Pediatric Outreach and Care for Disadvantaged Children Act of 1990

United States · United States Congress · 1 February 1990

Primary Pediatric Outreach and Care for Disadvantaged Children Act of 1990 - Amends the Public Health Service Act to authorize the making of grants and contracts for the establishment of programs providing high quality primary pediatric care to economically disadvantaged children and adolescents who lack access to such care. Includes as eligible grant activities: child outpatient facilities, substance abuse detection, foster child and homeless youth medical services, and data collection. Authorizes appropriations.

A bill to amend the Social Security Act to provide for more flexible billing arrangements in situations where physicians in the solo practice of medicine or in another group practice have arrangements with colleagues to "cover" their practice on an occasional basis.

United States · United States Congress · 1 February 1990

Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to permit the reimbursement of a patient's regular physician for services provided to such patient by another physician who occasionally covers for the regular physician.

Medigap Fraud and Abuse Prevention Act of 1990

United States · United States Congress · 1 February 1990

Medigap Fraud and Abuse Prevention Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to increase: (1) the maximum civil penalty which may be imposed on agents who use fraudulent and deceptive practices to sell Medicare supplemental insurance policies; and (2) the percentage of premiums which must be returned to policyholders as benefits. Forbids agents from knowingly selling policies that duplicate a beneficiary's current coverage in any way. Requires States to establish a process for approving or disapproving proposed policy premium increases. Directs the Secretary of Health and Human Services to provide matching grants to States which meet specified requirements for the establishment of a toll-free telephone hotline and the dissemination of an educational brochure within such States providing individuals with Medicare supplemental insurance information.

Medicaid Frail Elderly Community Care Amendments of 1990

United States · United States Congress · 1 February 1990

Medicaid Frail Elderly Community Care Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to permit States to provide Medicaid coverage of community care for functionally disabled elderly individuals. Considers individuals who are unable to perform at least two daily living activities or who have Alzheimer's disease and require substantial assistance or supervision as functionally disabled individuals. Defines a covered community care setting as a nonresidential setting or a residential setting in which more than two unrelated adults reside and personal services are provided. Requires that community care be provided to each client in accordance with an individual community care plan (ICCP) prepared and periodically reviewed and revised by a community care case manager on the basis of the manager's consultation with the client and a comprehensive functional assessment of a client's needs conducted by an interdisciplinary team before his or her receipt of care and at least annually thereafter. Sets a ceiling on Medicaid payments to States for community care. Reduces Federal Medicaid payments to States that reduce their Medicaid community care expenditures below their FY 1990 expenditures for such care. Requires that community care and community care settings meet requirements, to be developed by the Secretary of Health and Human Services, concerning client rights, the quality of such care, and safety and sanitation. Imposes specified minimum requirements on such care and settings, including certain Medicaid requirements currently applicable to nursing facilities. Requires that community care settings: (1) disclose persons having an ownership or control interest in the setting; and (2) exclude a person from such interest if he or she has been excluded from the Medicaid program or had an interest in a community care setting repeatedly found to have provided substandard care. Makes: (1) the Secretary responsible for certifying that State community care providers and settings comply with Medicaid requirements; and (2) States responsible for certifying that other community care providers and settings comply with Medicaid requirements. Requires that providers and settings be certified annually. Bases community care setting certification on an annual, unannounced survey. Directs the Secretary to: (1) develop a protocol for conducting surveys; and (2) conduct sample surveys of community care settings, within two months of State surveys, to test the adequacy of State surveys. Authorizes the Secretary to conduct a special survey of a setting or a review of a provider when there is reason to question its compliance with this Act. Prohibits the use of surveyors who have an interest in the provider or setting being surveyed. Requires States and the Secretary to investigate complaints against providers or settings concerning violations of this Act's requirements. Requires each State to provide, through the State agency responsible for the certification of such providers and settings, for the receipt, review, and investigation of allegations of client neglect and abuse, and of misappropriation of client property by providers. Requires that: (1) certain information regarding providers and settings and their compliance with this Act's requirements be made available to the public; and (2) State Medicaid fraud and abuse control units be given access to provider or setting survey and certification information. Requires that when the Secretary or State determines that a provider's or setting's deficiencies immediately jeopardize the client's health and safety, immediate action be taken to remove the jeopardy and correct the deficiencies or the provider's or setting's participation in Medicaid be terminated. Authorizes the Secretary or States to terminate a community care provider's participation in the Medicaid program and to impose a civil monetary penalty for failure to meet this Act's requirements. Sets forth the Secretary's responsibilities relating to community care requirements. Requires that State Medicaid payment rates for community care be reasonable and adequate to meet the costs of providing such care efficiently, economically, and in accordance with applicable laws, regulations, and standards. Prohibits the coverage of substandard community care, penalties imposed for such care, and community care furnished by family members.

Medicaid Infant Mortality Amendments of 1990

United States · United States Congress · 1 February 1990

Title I: Short Title - Medicaid Infant Mortality Amendments of 1990 - Title II: Infant Mortality Provisions - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Directs the Secretary of Health and Human Services to report to the Congress by July 1, 1991, on State error rates in determining the Medicaid eligibility of pregnant women and infants. Suspends error rate penalties attributable to such eligibility determinations made from July 1, 1989, until one year after the Secretary's report. Requires that States make ambulatory prenatal care available to a pregnant woman during a presumptive eligibility period which ends when she is determined to be ineligible for Medicaid benefits or at the close of the month following the month in which she is determined to be eligible, if she fails to apply for such benefits. Authorizes States to provide Medicaid coverage of prenatal home visitation services for high-risk pregnant women and/or postpartum home visitation services for high-risk infants. Excepts Medicaid-eligible pregnant women from required cooperation with States in establishing the paternity of children born out of wedlock.

Medicaid Child Health Amendments of 1990

United States · United States Congress · 1 February 1990

Medicaid Child Health Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory Medicaid coverage of children whose family income is below the Federal poverty level. Permits States to provide Medicaid coverage to children who have attained age one but not age six and whose family income does not exceed 185 percent of the Federal poverty level. (Currently, States are required to cover children between such ages whose family income does not exceed 133 percent of the Federal poverty level.) Requires States to: (1) process Medicaid applications at locations which include locations other than those used for applications under part A (Aid to Families with Dependent Children) (AFDC) of title IV of the Social Security Act; and (2) use applications other than those used under the AFDC program. Permits States to provide an additional 12 months of extended Medicaid coverage to families whose AFDC eligibility ends due to the caretaker relative's employment. (Currently, States are required to provide 12 months of such extended coverage.) Requires States which provide prospective Medicaid payments to hospitals to reimburse hospitals which serve a disproportionate share of low-income patients for exceptionally costly or lengthy stays by children. Directs States to provide Medicaid coverage for disabled children who are eligible for benefits under title XVI (Supplemental Security Income) of the Social Security Act. Prohibits the discontinuance of a child's Medicaid benefits until he or she is determined not to be eligible for such benefits on any basis. Allows States to extend Medicaid coverage to foster care children whose incomes are above State cash assistance eligibility levels but below the Federal poverty level.

Quality Assurance of Drug Testing Act of 1990

United States · United States Congress · 1 February 1990

Quality Assurance of Drug Testing Act of 1990 - Amends the Public Health Service Act to prohibit performing toxicological analysis in connection with a drug testing program unless certified. Directs the Secretary of Health and Human Services to establish a program for certifying laboratories for performing drug tests, with annual review of certification criteria. Requires an employer, as a condition of maintaining a drug testing program, to establish a written anti-drug abuse policy and a drug-free awareness program. Declares that nothing in this Act prohibits an employer from requiring a drug test of applicants and, in certain circumstances, employees. Sets forth certain employee protections, including requiring several types of notice and prohibiting: (1) subject to exception, adverse action based on unconfirmed results; and (2) retaliation for exercise of an employee right. Prohibits disclosure of test results, except in specified circumstances. Declares that nothing in this Act prohibits an employer from: (1) taking action necessary to ensure a safe workplace; (2) taking action necessary, including termination, in certain circumstances; (3) requiring certain employees to participate in a treatment program; or (4) refusing to place or reinstate an employee with a confirmed positive test in a sensitive position. Directs the Secretary to establish a program for the certification of laboratories for the performance of toxicological urinalysis conducted for drug testing programs. Requires the certification program to be enforced under the procedures and sanctions in specified provisions relating to the licensing of clinical laboratories. Sets forth procedures for employee complaints of unlawful discharge or discrimination. Directs the Secretary, on a finding of a violation of this Act, to provide relief as the Secretray determines appropriate, including reinstatement, promotion, and the payment of lost wages and benefits. Declares the good faith compliance of an employer with the standards and procedures of this Act to constitute an affirmative defense. Declares that this Act does not require an employer to establish a drug testing program or make employment decisions based on test results. Declares that this Act preempts any State or local law or regulation, but does not prohibit the Secretary of Transportation or the Nuclear Regulatory Commission from issuing regulations on drug and alcohol testing. Allows professional athletes to be treated as sensitive employees, except that they are not covered by provisions prohibiting disclosure of test results.

Medicaid Hospice Amendments of 1990

United States · United States Congress · 1 February 1990

Medicaid Hospice Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to require States to provide Medicaid coverage of hospice care.

Medicaid Community and Facility Habilitation Services Amendments of 1990

United States · United States Congress · 1 February 1990

Title I: Short Title - Medicaid Community and Facility Habilitation Services Amendments of 1990 - Title II: Community and Facility Habilitation Services Amendments - Part A: Community Habilitation and Supportive Services - Amends title XIX (Medicaid) of the Social Security Act to authorize States to cover community habilitation and supportive services for individuals with mental retardation or related conditions without regard to whether or not such individuals have been discharged from a nursing or habilitation facility. Defines community habilitation and supportive services as services which assist individuals in developing and maintaining the skills necessary to function successfully in a home or community-based setting. Requires that community habilitation and supportive services be provided to each client in accordance with an individual habilitation plan prepared and periodically reviewed and revised by an interdisciplinary team on the basis of a comprehensive functional assessment of a client's needs conducted before his or her receipt of services and at least annually thereafter. Requires that such services meet minimum requirements, to be developed by the Secretary of Health and Human Services, regarding client rights and service quality. Makes the requirements imposed on habilitation facilities (under this Act) regarding patient's rights and facility safety and sanitation applicable to residential settings in which community habilitation and supportive services are provided. Requires that residential settings: (1) disclose persons having an ownership or control interest in the setting; and (2) exclude a person from such interest if he or she has been excluded from the Medicaid program or had an interest in a residential setting repeatedly found to have provided substandard care. Requires a habilitation facility which converts to a residential setting to continue to provide continuous active treatment to residents who required such treatment at the time of conversion. Requires a residential setting to document a client's receipt of medical services. Excludes settings in which fewer than three unrelated adults reside from the definition of a "residential setting." Makes the: (1) Secretary responsible for certifying that State providers of community habilitation and supportive services and residential settings in which such services are provided comply with Medicaid requirements; and (2) States responsible for certifying that other providers of and residential settings for such services comply with Medicaid requirements. Requires each State to: (1) conduct periodic educational programs for the staff and clients in residential settings for community habilitation and supportive services regarding requirements imposed on such setting; and (2) provide, through the State agency responsible for the certification of such providers and residential settings, for the receipt, review, and investigation of allegations of client neglect and abuse and of misappropriation of client property by providers. Requires that such providers and settings be certified annually. Provides States with no Federal Medicaid coverage for the costs of carrying out such quality assurance activities. Authorizes States to reward providers of community habilitation and supportive services who provide the highest quality of care. Bases residential setting certification on an annual, unannounced survey. Directs the Secretary to: (1) develop a protocol for conducting surveys; and (2) conduct sample surveys of residential settings, within two months of State surveys, to test the adequacy of State surveys. Authorizes the Secretary to conduct a special survey of a setting or a review of the provider when there is reason to question its compliance with this Act. Prohibits the use of surveyors who have an interest in the provider or setting being surveyed or have not completed a training and testing program approved by the Secretary. Requires States and the Secretary to investigate complaints against providers or settings concerning violations of this Act's requirements. Requires that: (1) certain information regarding providers and settings and their compliance with this Act's requirements be made available to the public; and (2) the State agency responsible for the protection and advocacy system for the developmentally disabled and the guardians of clients be notified of a provider's or setting's noncompliance with this Act's requirements. Gives State Medicaid fraud and abuse control units access to provider or setting survey and certification information. Requires that when the Secretary or State determines that a provider's or setting's deficiencies immediately jeopardize the client's health and safety, immediate action be taken to remove the jeopardy and correct the deficiencies or the provider's or setting's participation in Medicaid be terminated. Directs the Secretary and States to apply certain other remedies where the health and safety of clients are not immediately jeopardized. Requires the imposition of civil money penalties against providers and settings which are, or are found to have been, out of compliance with any of this Act's requirements. Sets forth the Secretary's responsibilities relating to community habilitation and supportive service requirements. Eliminates the restriction of the Medicaid waiver for community habilitation services to individuals who have been discharged from a skilled nursing or intermediate care facility. Directs the Secretary to report to the Congress: (1) annually, on the extent to which providers and residential settings are complying with this Act's requirements and the number and type of enforcement actions taken by the Secretary and the States; and (2) by January 1, 1993, on the effectiveness of existing outcome-oriented instruments and methods in evaluating and assuring the quality of community habilitation and supportive services. Part B: Quality Assurance for Habilitation Facility Services - Defines a "habilitation facility" as an institution primarily engaged in providing health or habilitation services to individuals with mental retardation or related conditions and not primarily for the care and treatment of mental diseases. Sets forth requirements for habilitation facilities, including requirements that such facilities: (1) promote maintenance or enhancement of the quality of life, independence, productivity, and integration into the community of each client; (2) provide continuous active treatment which is coordinated and monitored by a qualified mental retardation professional; (3) provide such treatment in accordance with an individual program plan prepared and periodically reviewed and revised by an interdisciplinary team of professionals on the basis of an assessment of a client's developmental and behavioral management needs conducted upon the client's admission and at least annually thereafter; (4) not admit any new client with mental retardation or a related condition on or after January 1, 1992, unless the State mental retardation or developmental disability authority has determined on the basis of an evaluation performed independently of the facility that the individual requires habilitation facility services; (5) provide physician services 24 hours a day, annual physical examinations, licensed nursing services, comprehensive dental diagnostic and treatment services, routine and emergency drugs and biologicals, professional program services to implement each client's active treatment plan, and meal services; (6) require a physician's supervision of each patient's care, have a physician available to furnish emergency medical care, and maintain clinical records on all clients; (7) protect specified client rights, including the right to appeal a transfer or discharge and receive post-discharge preparation and planning services; (8) provide applicants and residents with information regarding the Medicaid program and not require applicants to waive their rights to such benefits or have a third party guarantee payment to the facility as a condition of their admission; (9) protect a client's personal funds upon the client's authorization and teach clients to manage their funds to the extent of their capabilities; (10) adopt certain measures to preserve facility safety and sanitation; and (11) meet such other conditions which the Secretary of Health and Human Services deems necessary for client health and safety. Sets forth the Secretary's responsibilities relating to habilitation facility requirements. Makes the Secretary responsible for certifying that State habilitation facilities comply, and States responsible for certifying that other habilitation facilities comply, with Medicaid habilitation facility requirements. Requires each State to: (1) conduct periodic educational programs for habilitation facility staff and clients regarding the requirements imposed on such facilities; and (2) provide, through the State agency responsible for the certification of habilitation facilities, for the receipt, review, and investigation of allegations of client neglect and abuse and of misappropriation of client property by facility staff. Bases habilitation facility certification on an annual, unannounced survey. Directs the Secretary to: (1) develop and test a protocol for conducting surveys; (2) establish minimum qualifications for surveyors and train them in survey and certification techniques; and (3) conduct sample surveys of habilitation facilities, within two months of State surveys, to test the adequacy of State surveys, and reduce Federal payments for State Medicaid administrative costs if such State surveys prove inadequate. Authorizes the Secretary to conduct a special survey of a facility when there is reason to question its compliance with this Act. Requires States and the Secretary to investigate complaints against a facility and monitor the compliance of a facility with this Act's requirements if the facility was previously found out of compliance or the State or Secretary has reason to question its compliance. Requires that: (1) certain information regarding habilitation facilities and their compliance with this Act's requirements be made available to the public; (2) the State agency responsible for the protection and advocacy system for the developmentally disabled and the guardians of facility clients be notified of a facility's noncompliance with this Act's requirements; and (3) mail survey results to the parents or legal representative of each client and make such results available to the public upon request. Gives State Medicaid fraud and abuse control units access to facility survey and certification information. Requires that when the Secretary or a State determines that a habilitation facility's deficiencies immediately jeopardize residents' health and safety, immediate action be taken to remove the jeopardy and correct the deficiencies or such facility's participation in Medicaid be terminated. Directs the Secretary and States to apply certain other remedies where the health and safety of facility residents are not immediately jeopardized. Authorizes the imposition of civil money penalties against facilities found to be in compliance with this Act's requirements but to have been out of compliance previously. Provides that if a facility is out of compliance with any of this Act's requirements three months after having been found out of compliance with such requirements or on three consecutive annual surveys, Medicaid payments for newly admitted residents shall be denied, civil monetary penalties assessed and collected, and, in the latter case, on-site monitoring of the facility's compliance shall be established. Allows States to establish a program rewarding habilitation facilities that provide the highest quality of care to Medicaid-eligible clients. Provides that when a facility is found to have deficiencies relating to the facility's physical plant that do not immediately jeopardize the health or safety of its clients, the State may submit to the Secretary a written plan for permanently reducing the number of certified beds in such facility within 36 months of such finding and providing services, including community habilitation and supportive services, to clients who thereby cease to receive facility services. Requires that Medicaid-eligible clients be given the option of retaining facility services. Requires the Secretary to report to the Congress annually on the extent to which habilitation facilities are complying with this Act's requirements and the number and type of enforcement actions taken by States and the Secretary. Part C: Appropriate Placement for Individuals with Mental Retardation or a Related Condition - Requires that State mental retardation or developmental disability authorities conduct preadmission and annual reviews of habilitation facility applicants and residents with mental retardation or related conditions to determine whether they require facility services or community habilitation and supportive services. Directs that such preadmission and annual reviews be conducted in accordance with criteria to be developed by the Secretary by July 1, 1991. Requires States to provide community habilitation and supportive services for facility clients who need such services but no longer need habilitation facility services. Requires States to establish an appeals procedure for individuals adversely affected by such preadmission and annual reviews. Eliminates existing utilization review and penalty provisions directed at the provision of services in an intermediate care facility for the mentally retarded. Part D: Payment for Community Habilitation and Supportive Services and Habilitation Facility Services - Covers the reasonable and adequate costs of community habilitation and supportive services and habilitation facility services, without distinguishing, in payment amounts, between State-operated providers and other providers. Prohibits Medicaid reimbursement of providers or facilities for civil monetary penalties imposed pursuant to this Act. Part E: Employee Protections and Miscellaneous - Provides employment protections for employees affected by habilitation facility closures or capacity reductions occurring after this Act's enactment. Authorizes States to assign specific management functions relating to the provision of Medicaid services to individuals with mental retardation or related conditions to State agencies responsible for developmentally disabled individuals.

Rape and Incest Victims' Choice Resolution

United States · United States Congress · 31 January 1990

Rape and Incest Victims' Choice Resolution - Expresses the sense of the House of Representatives that Federal Medicaid (title XIX of the Social Security Act) funding should be available for the abortion of pregnancies resulting from rape or incest if such acts, considering the physical and mental state of the women involved, are reported promptly.

CRNA Payment Amendments of 1990

United States · United States Congress · 30 January 1990

CRNA Payment Amendments of 1990 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to establish uniform national fee schedule payment rates for certified registered nurse anesthetist services.

Medicare Screening Mammography Amendments of 1990

United States · United States Congress · 30 January 1990

Medicare Screening Mammography Amendments of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women over age 34.

Universal Health Coverage Act of 1990

United States · United States Congress · 30 January 1990

Universal Health Coverage Act of 1990 - Requires each State to develop and implement by 1995 a State health insurance plan which: (1) requires employers of more than 24 employees to enroll such employees and their dependents in a plan providing specified health benefits; (2) creates mechanisms to reduce the costs of providing health insurance to employees of small companies and self-employed and unemployed individuals; (3) establishes a health benefits plan providing affordable coverage to poor and uninsurable individuals; and (4) requires that the State Medicaid plan (title XIX of the Social Security Act) meet minimum national eligibility and coverage requirements to be developed by the Secretary of Health and Human Services. Requires the Secretary to monitor State health insurance plans so as to determine by 1998 whether such plans should be administered by the Federal Government or remain at the State level. Establishes the Universal Health Coverage Trust Fund to finance this Act's initiatives with revenue from specified increases in excise taxes on tobacco products and cosmetics and the elimination of a marginal tax reduction for the wealthy. Directs the Secretary to establish a demonstration program providing additional funds to ten States to finance features of their State health insurance plans designed to provide health care to populations having difficulty in obtaining reasonably priced quality care.

Medicare Certified Registered Nurse Anesthetist Payment Amendments of 1990

United States · United States Congress · 25 January 1990

Medicare Certified Registered Nurse Anesthetist Payment Amendments of 1990 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to establish uniform national fee schedule payment rates for certified registered nurse anesthetist services.

Medicare Benefit Improvements Act of 1990

United States · United States Congress · 24 January 1990

Medicare Benefit Improvements Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women over age 34 at a frequency which varies on the basis of a woman's age and risk of developing breast cancer. Covers up to 80 hours of annual in-home respite care furnished to an individual who has incurred expenses equal to a specified Medicare Part B (Supplementary Medical Insurance) cost-sharing limit and, for the preceding three months, has been unable to perform at least two specified daily living activities without the assistance of an uncompensated primary caregiver with whom he or she resides. Covers nursing care and home health aide services as home health services if such services are needed less than seven days each week or are needed for up to 38 consecutive days. Amends part A (Hospital Insurance) of the Medicare program to create an extension period of hospice care for terminally ill beneficiaries which is to follow the two 90-day periods and the subsequent 30-day period of hospice care coverage currently provided in an individual's lifetime. Increases the Medicare part B premium.

To require payment of interest on excess medicare premiums collected as a result of delayed implementation of the Medicare Catastrophic Coverage Repeal Act of 1989 and the Omnibus Budget Reconciliation Act of 1989.

United States · United States Congress · 24 January 1990

Directs the Secretary of Health and Human Services to include interest in the payment of excess premiums collected under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act due to the delayed implementation of the Medicare Catastrophic Coverage Repeal Act of 1989 and the Omnibus Budget Reconciliation Act of 1989.

To amend title XVIII of the Social Security Act to extend to a period of 38 consecutive days the period of continuous home health services under the medicare program.

United States · United States Congress · 24 January 1990

Amends title XVIII (Medicare) of the Social Security Act to cover nursing care and home health aide services as home health services if such services are needed less than seven days each week or are needed for up to 38 consecutive days.

To amend title XVIII of the Social Security Act to extend the period of medicare hospice benefits.

United States · United States Congress · 24 January 1990

Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to create an extension period of hospice care for terminally ill beneficiaries which is to follow the two 90-day periods and the subsequent 30-day period of hospice care coverage currently provided in an individual's lifetime.

Congressional Commitment to Long-Term Care Concurrent Resolution

United States · United States Congress · 24 January 1990

Congressional Commitment to Long-Term Care Concurrent Resolution - Expresses the sense of the Congress that payments to long-term care providers under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act be sufficient to maintain the highest quality of patient care in nursing homes.

Antonia Coello Novello, of the District of Columbia, to be Surgeon General of the Public Health Service for a term of four years, vice C. Everett Koop, resigned.

United States · United States Senate · 23 January 1990

A bill to amend title XVIII of the Social Security Act to eliminate the reimbursement differential between hospitals in different areas.

United States · United States Congress · 23 January 1990

Amends title XVIII (Medicare) of the Social Security Act to gradually eliminate differences in average standardized Medicare payments to large urban, other urban, and rural hospitals, based on methodologies developed by the Prospective Payment Assessment Commission and the Secretary of Health and Human Services.

Rose Kushner Medicare Screening Mammography Act of 1990

United States · United States Congress · 23 January 1990

Rose Kushner Medicare Screening Mammography Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women over age 34 at a frequency which varies on the basis of a woman's age and risk of developing breast cancer. Finances such coverage by increasing the Medicare part B (Supplementary Medical Insurance) premium.