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401 records in US in 1993
United States · United States Congress · 22 April 1993
Rural Mental Health Services Amendments of 1993 - Amends the Public Health Service Act to require the Secretary of Health and Human Services, in providing contracts for scholarships and loan repayments, to ensure that the number of mental health professionals assigned for health professional shortage areas is appropriate.
United States · United States Congress · 22 April 1993
Women's Violence-Related Injury Reduction Act - Amends the Public Health Service Act to authorize grants for demonstration projects to identify victims of domestic violence or sexual assault and refer them to entities providing related services. Allows use of the grants to train health care providers to engage in such activities. Mandates related education of health care providers and the public, epidemiological research, and cooperation with States regarding establishing a national system for the collection of data on domestic violence and sexual assault. Authorizes appropriations.
United States · United States Congress · 22 April 1993
Sensible Advertising and Family Education Act - Declares it to be an unlawful or deceptive act under the Federal Trade Commission Act to advertise through magazines, newspapers, brochures, and promotional displays any alcoholic beverage, unless the advertising includes one of specified health warnings. Requires the Secretary of Health and Human Services to maintain toll free numbers referred to in some of the warnings.
United States · United States Congress · 22 April 1993
Amends title XVIII (Medicare) of the Social Security Act to provide protection against reductions in Medicare payment amounts to rural hospitals as a result of reductions in wage indices applicable to such hospitals because of census designations of formerly rural areas as urban.
United States · United States Congress · 21 April 1993
Hospital Antitrust Fairness Act - Exempts from the antitrust laws combinations of, or contracts to allocate hospital services by, two or more hospitals if: (1) each such hospital is located outside of a city or in a city of less than 150,000 inhabitants; (2) in the most recently concluded calendar year, each such hospital received more than 40 percent of its gross revenue from payments made under Federal programs; and (3) there is in effect with respect to each such hospital a certificate issued by the Health Care Financing Administration (HCFA) specifying that HCFA has determined that Federal expenditures would be reduced, and consumer costs would not increase, if such hospitals merge or allocate the services specified in the request.
United States · United States Congress · 21 April 1993
Codifies existing Federal transportation law relating to: (1) the Department of Transportation; (2) the National Transportation Safety Board; (3) general and intermodal programs; (4) interstate commerce; (5) rail programs; (6) motor vehicle and driver programs; (7) aviation programs; (8) pipelines; (9) commercial space transportation; (10) bills of lading; (11) contraband; (12) damage to transported property; (13) transportation of animals; (14) payments for inspection and quarantine services; and (15) medals of honor. Sets forth provisions relating to: (1) ports of entry for civil aircraft; (2) customs violations, including public health, immigration, and controlled substances violations; (3) animal and plant quarantines; and (4) exempting mass transportation from Interstate Commerce Commission jurisdiction. Repeals various Acts of Congress relating to Federal transportation law.
United States · United States Congress · 21 April 1993
High Performance Computing and High Speed Networking Applications Act of 1993 - Amends the High-Performance Computing Act of 1991 to direct the Federal Coordinating Council for Science, Engineering, and Technology to: (1) establish an interagency applications program to develop applications of computing and networking advances under the National High-Performance Computing Program; and (2) develop a Plan for Computing and Networking Applications which shall identify application program goals and priorities and set forth specific Federal agency responsibilities. Requires the Plan to: (1) foster local network access programs and their connection with Internet; and (2) develop projects and technologies in the fields of education, health care, libraries, and government information access. Provides for the establishment of a high performance computing and applications advisory committee.
United States · United States Congress · 21 April 1993
Military Retiree and Veteran Health Care Act of 1993 - Entitles members and former members of the armed forces and their dependents who are eligible for medical or dental care in any military facility and who are also entitled to health insurance under title XVIII (Medicare) of the Social Security Act to receive medical or dental care in any military facility. Directs the facility providing such services to recover the costs of such care from Medicare Subvention funding. Provides for the deposit of funds received by a military medical treatment or Department of Veterans Affairs facility from Medicare Subvention funding for the provision of such care. Allows a covered beneficiary of a member or former member of the armed forces who is also entitled to hospital insurance benefits under Medicare to receive care in a military treatment facility and to have the Medicare hospital insurance benefits paid to such military treatment facility for the care so provided. Provides that, in the case of health care services incurred on behalf of covered beneficiaries, collection may be made from any third party payer, including the appropriate program under Medicare or title XIX (Medicaid) of the Social Security Act. (Currently, collection from a plan administered by Medicare or Medicaid is prohibited.) Prohibits medical or dental care from being provided to an otherwise eligible person at a military treatment facility only if the senior or commanding officer of such facility determines that such facility cannot provide the particular care required because of lack of space or facilities or because such type of care is not provided at such facility. Requires the administering Secretary to be advised immediately when a determination to deny treatment is made, with a verifiable date as to when the restriction will be removed. Amends Medicare provisions to make Department of Defense and Department of Veterans Affairs treatment facilities eligible for Medicare payments as long as they meet requirements applicable to hospitals and skilled nursing facilities under title XVIII.
United States · United States Congress · 21 April 1993
Rural Health Outreach Grants Amendments Act - Amends the Public Health Service Act to authorize grants to demonstrate new and innovative models of outreach and health care services delivery in rural areas that lack basic health services. Conditions grants on formation of consortia of at least three health care providers or at least three social service providers. Authorizes appropriations.
United States · United States Congress · 21 April 1993
Rural Physicians' Incentives Act of 1993 - Amends the Internal Revenue Code to allow a deduction on medical education loan interest of a physician which accrues while the physician is living in and providing primary care to residents of a medically underserved rural area. Amends title XVIII (Medicare) of the Social Security Act to exempt services furnished in a rural area from a special fee schedule applicable to new physicians. Amends the Higher Education Act of 1965 to extend beyond the normal two-year limit, for borrowers serving an internship or residency program in preparation for practice in an area of primary care, the deferral of payments on: (1) insured student loans (Stafford Loans), including those eligible for interest subsidies; and (2) low-interest student loans (Perkins Loans). Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify provisions setting forth requirements concerning billing by one physician for services rendered by another physician in specified circumstances.
United States · United States Congress · 21 April 1993
Emergency Medical Services Amendments Act of 1993 - Amends title XII (Trauma Care) of the Public Health Service Act to apply the title to emergency medical services (including trauma care) and to modify the duties of the Secretary of Health and Human Services under the title. Establishes the Office of Emergency Medical Services. Authorizes grants to States to improve the availability and quality of emergency medical services through the operation of State offices of emergency medical services. Requires projects under existing provisions to include demonstration projects to establish telecommunications between rural medical facilities and medical facilities that have expertise or equipment useful to the rural facilities through telecommunications. Authorizes appropriations for carrying out specified provisions of the title.
United States · United States Congress · 21 April 1993
Rural Medical Emergencies Air Transport Act of 1993 - Amends the Public Health Service Act to mandate grants to States for the creation or enhancement of air medical transport systems providing victims of rural medical emergencies with access to treatments. Authorizes appropriations.
United States · United States Congress · 21 April 1993
Medicare Cancer Coverage Improvement Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to cover: (1) any use of a drug approved by the Food and Drug Administration in an anticancer chemotherapeutic regimen if such use has been published in select peer-review medical literature or included in one or more of three specified medical compendia; and (2) an oral form of a drug prescribed for anticancer use for a given indication if the drug contains the same active ingredients and indication as a drug that would be covered if administered as incident to a physician's service if the drug could not be self-administered. Requires a study and report to specified congressional committees by the Secretary of Health and Human Services on Medicare coverage of patient care costs associated with clinical trials of new cancer therapies.
United States · United States Congress · 21 April 1993
State Offices of Rural Health Amendments of 1993 - Revises matching funds provisions of the program of grants to States for operation of offices of rural health (under the Public Health Service Act) to prohibit the Secretary of Health and Human Services: (1) from making grants under the program unless the State agrees to provide non-Federal contributions towards specified costs, in cash, in an amount not less than one dollar for each dollar of Federal funds provided in the grant; and (2) in determining the amount of non-Federal contributions in cash that a State has provided, from including any amounts provided to the State by the Federal Government. Authorizes appropriations. Increases grant amounts that may be made before termination of the program.
United States · United States Congress · 21 April 1993
Essential Access Community Hospital (EACH) Amendments of 1993 - Amends title XVIII (Medicare) of the Social Security Act to make miscellaneous and technical changes with respect to Medicare's Essential Access Community Hospital Program and other Medicare provisions, including those relating to Medicare part A (Hospital Insurance) deductibles and co-payments. Authorizes appropriations.
United States · United States Congress · 21 April 1993
Amends the Omnibus Budget Reconcilitation Act of 1987 to: (1) reauthorize the rural health care transition grant program through FY 1997; (2) direct the Secretary of Health and Human Services to give preference in making grants under such program to hospitals that establish consortia with other providers in the communities in which the hospitals are located; and (3) revise the frequency of the Secretary's reports on the program to the Congress from every six months to every 12 months.
United States · United States Congress · 21 April 1993
Rural Access to Obstetrical Care Act of 1993 - Directs the Secretary of Health and Human Services to: (1) provide for demonstration projects to improve access to obstetric services in underserved rural areas for eligible pregnant women under title XIX (Medicaid) of the Social Security Act; (2) develop and make public each year a compendium of State initiatives to address the obstetric access crisis in rural areas; and (3) provide a grant for the study of obstetrical malpractice claims.
United States · United States Congress · 21 April 1993
Health Professional Shortage Area Amendments of 1993 - Amends the Public Health Service Act to add a certain percentage of the population being 65 years old or older to the indicators of need which must be taken into consideration in designating health professional shortage areas (HPSAs). Prohibits, for frontier areas, considering the travel time between population centers or to contiguous area resources. Amends title XVIII (Medicare) of the Social Security Act to continue, for three months after withdrawal of the designation of an area as an HPSA, the additional payments mandated for services furnished in HPSAs.
United States · United States Congress · 21 April 1993
Amends title XVIII (Medicare) of the Social Security Act to extend special payments under Medicare part A (Hospital Insurance) for the operating costs of inpatient services of Medicare-dependent, small rural hospitals. Requires the Secretary of Health and Human Services to permit such hospitals which have been reclassified as urban to decline such reclassification.
United States · United States Congress · 21 April 1993
Rural Hospital Payment Equity Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act with respect to the application of a hospital to change its geographic classification for purposes of determining its average standardized amount or the area wage index applicable to it. Requires the Medicare Geographic Classification Review Board to find the hospital's wages to be comparable to the wages of hospitals in the relevant geographic area if the hospital's average hourly wage is at least 85 percent of the average hourly wage of hospitals paid in such area.
United States · United States Congress · 21 April 1993
Rural Federally-Qualified Health Center Resident Training Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to include the services of interns and residents at federally-qualified health centers providing services in a rural area in determining the amount of payment to hospitals under Medicare part A (Hospital Insurance) for the indirect costs of medical education.
United States · United States Congress · 21 April 1993
Amends the Omnibus Budget Reconciliation Act of 1989 to extend special treatment rules under the Medicare program for regional referral centers. Permits any hospital that fails to qualify as a rural referral center under Medicare as a result of the hospital's urban reclassification to decline such reclassification and have the rural classification restored.
United States · United States Congress · 21 April 1993
Designates April 17 through 24, 1994, as Nancy Moore Thurmond National Organ and Tissue Donor Awareness Week.
United States · United States Congress · 19 April 1993
Minor Use Crop Protection Act of 1995 - Amends the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) to define "minor use" as the use of a pesticide on an animal or commercial agricultural crop or site or for public health protection where: (1) the total U.S. acreage for the crop is fewer than 300,000 acres; or (2) the Administrator of the Environmental Protection Agency determines that the use does not provide sufficient economic incentive to support the initial or continuing registration of a pesticide for such use and there are insufficient alternatives available for the use, any one of the alternatives poses greater environmental or health risks, or the pesticide plays or will play a significant part in managing pest resistance or in an integrated pest management program. Extends the period of exclusive data use for data submitted to support original registration applications for pesticides for an additional year for each three minor uses registered after this Act's enactment and before the expiration of the period of exclusive use, up to a total of three additional years for all minor uses registered by the Administrator if the Administrator determines that: (1) there are insufficient alternatives available for the use or any one of the alternatives poses greater environmental or health risks; or (2) the pesticide plays or will play a significant part in managing pest resistance or in an integrated pest management program. Requires the Administrator, upon the request of a registrant, to extend the deadline for the production of residue chemistry data required solely to support a minor use subject to specified conditions. Applies the same extension conditions to data for reregistrations. Authorizes the Administrator to modify or revoke such extensions if the use may cause unreasonable adverse environmental effects. Permits the Administrator, in handling the registration of a pesticide for a minor use, to waive applicable data requirements if the absence of data will not prevent the Administrator from determining the risk presented by the pesticide and that the risk would not have an adverse environmental effect. Provides for expedited review (within one year of submission) of applications to support minor use pesticide registrations. Provides a procedure for meeting data requirements where a registrant has voluntarily cancelled a registration and another application is pending for registration of a pesticide that is for a minor use and is identical or substantially similar to, or for an identical or substantially similar use as, the cancelled pesticide. Directs the Administrator to establish a minor use program. Directs the Secretary of Agriculture to establish a Department of Agriculture minor use program and a separate matching fund program. Requires the matching fund program to be utilized to ensure the continued availability of minor use crop protection chemicals. Authorizes appropriations.
United States · United States Congress · 19 April 1993
Designates April 17 through 24, 1994, as Nancy Moore Thurmond National Organ and Tissue Donor Awareness Week.
United States · United States Congress · 7 April 1993
Equitable Health Care for Neurobiological Disorders Act of 1993 - Sets standards for the nondiscriminatory and equitable treatment by employer health benefit plans of individuals with neurobiological disorders (defined as affective, anxiety, attention deficit, developmental, psychotic, and Tourette's disorders), including coverage that is no more restrictive than that provided for other major physical illnesses. Deems a plan to meet such standards if it provides for: (1) stop-loss protection for catastrophic expenses; (2) coverage of facility-based care and specified outpatient medical management; (3) coverage of visits for psychological, therapeutic, and rehabilitative services, with coinsurance and fees to ensure effective cost control; and (4) coverage of prescription drugs and medically necessary services for comorbidity of other disorders. Amends the Internal Revenue Code to impose an excise tax on the failure of a heath insurance carrier or an employer health benefit plan to comply with standards under this Act.
United States · United States Congress · 5 April 1993
Amends the Safe Drinking Water Act to direct the Administrator of the Environmental Protection Agency to enter into agreements with States having primary enforcement responsibility for public water systems to make capitalization grants to be deposited in drinking water treatment revolving funds. Permits such funds to be used only for providing financial assistance to public water systems for capital expenditures incurred to facilitate compliance with national primary drinking water regulations. Sets forth requirements for agreements, including that: (1) a State deposit monies equal to at least 20 percent of the total of capitalization grants to be received; and (2) no financial assistance will be provided to a public water system if expenses could be avoided or significantly reduced by consolidation of such system with another system. Authorizes appropriations.
United States · United States Congress · 5 April 1993
TABLE OF CONTENTS: Title I: Eligibility and Enrollment Title II: Benefits Subtitle A: Health Care Services Subtitle B: Long-Term Care Services Subtitle C: Modification of Services Title III: Federal and State Administration Subtitle A: Federal Administration Subtitle B: State Administration Title IV: Financing Subtitle A: Health Budgets Subtitle B: Payments to Providers Subtitle C: Revenues Title V: Congressional Consideration Title VI: Private Options Title VII: Expansion of Outcomes Research and Delivery of Services in Underserved Areas Title VIII: Malpractice Reform Title IX: Effective Dates; Terminations; Transition; Relation to ERISA National Health Security Act of 1993 - Title I: Eligibility and Enrollment - Entitles every U.S. resident citizen, national, and lawful resident alien to health care services and long-term care services under this Act. Requires each State program to provide for a mechanism for enrollment and issuance of an identification and processing card. Provides for portability, including mandating use of a uniform claims form. Title II: Benefits - Subtitle A: Health Care Services - Includes as covered services: (1) inpatient and outpatient hospital care; (2) diagnostic and screening tests; (3) services furnished by health care professionals, including medically necessary dental care; (4) preventive care; (5) prescription drugs, biologicals, and devices; (6) substance abuse services; (7) inpatient and outpatient mental health services; (8) hospice care; (9) habilitation and rehabilitation; (10) home medical equipment and prosthetic devices; and (11) approved experimental treatment. (Sec. 202) Prohibits States from limiting the amount, duration, or scope of services except as provided in this Act. Excludes cosmetic surgery and certain inpatient amenities. (Sec. 203) Requires: (1) the Federal Health Board established by this Act to provide, subject to certain requirements, for copayments and out-of-pocket limits; and (2) the Federal Health Priorities Council established by this Act to study specified issues. Subtitle B: Long-Term Care Services - Requires the Board to: (1) set standards for eligibility, long-term care services coverage, income protection, and case management; and (2) establish an income-related cost sharing schedule. (Sec. 212) Provides for the appointment of a Long-Term Care Services Assessment Commission. Authorizes appropriations. Subtitle C: Modification of Services - Requires annual recommendations by the Priorities Council regarding changes in services under this Act. Title III: Federal and State Administration - Subtitle A: Federal Administration - Establishes the Federal Health Board to administer this Act and take other actions, including establishing national minimum quality standards and uniform reporting requirements, developing a uniform claims form, reviewing and approving interstate consortia minimizing fragmented care, and combating fraud and abuse. (Sec. 302) Requires the Board to appoint the Federal Health Advisory Council. (Sec. 303) Establishes the Federal Health Priorities Council to conduct hearings and studies and make recommendations on how health care dollars should be allocated in the context of a publicly funded national health insurance plan. (Sec. 304) Authorizes appropriations. Subtitle B: State Administration - Provides for Board review and approval of State programs. Includes in requirements for State programs: (1) financing of services through a designated fund; (2) designation of a single nonprofit State agency to administer the program; (3) establishment of boards to negotiate with hospitals and practitioners; and (4) freedom of individuals to choose providers. (Sec. 312) Allows States to contract with fiscal intermediaries, in a process of competitive bidding, to administer the State program. (Sec. 313) Provides for waivers for States to: (1) implement alternative and innovative provider reimbursement, cost sharing, and administration; and (2) provide services through a capitation method. (Sec. 314) Allows any group of States to establish a regional consortium in lieu of State programs. Provides for congressional disapproval of the consortium agreement. (Sec. 315) Mandates grants to: (1) cooperative agreements with States for programs, research, and treatment relating to environmental health and health promotion and disease prevention; and (2) States or regional consortia for the establishment and initial operation of the State or regional plan. Authorizes appropriations. Title IV: Financing - Subtitle A: Health Budgets - Requires the Board to establish an annual or biennial budget for Federal and State expenditures under this Act. Entitles each State with an approved State program to a Federal contribution of the Federal share plus that State's total projected expenditures for services under this Act. (Sec. 403) Prohibits a State from restricting timely access to medically necessary and appropriate services under this Act or permitting queues to form that have the potential to be life threatening. Subtitle B: Payments to Providers - Provides for State payments to hospitals and other health care and long-term care institutions for the areas of operating, capital, and health training expenses. (Sec. 412) Requires the State practitioner reimbursement negotiation board to negotiate with the State organizations representing each of the practitioner disciplines to derive a relative value scale fee schedule fulfilling specified principles. Subtitle C: Revenues - Requires the Board: (1) to develop a mechanism for determining and collecting a premium from individuals and employers; and (2) subject to congressional disapproval, to collect premiums from individuals and employers according to certain requirements. (Sec. 422) Amends the Internal Revenue Code to define "accident or health insurance," for purposes of provisions relating to exclusions from gross income, to mean an approved State program under this Act. Removes provisions relating to amounts paid to highly compensated individuals under a discriminatory self-insured medical expense reimbursement plan. (Sec. 423) Establishes in the Treasury the Federal Health Care Trust Fund. (Sec. 424) Makes each State responsible for establishing a financing program for the implementation of the State program. Title V: Congressional Consideration - Sets forth rules, changeable as any other rule of the House of Representatives or the Senate, regarding congressional disapproval resolutions under this Act. Title VI: Private Options - Declares that this Act does not prohibit private insurance coverage supplementing the services covered under this Act. (Sec. 602) Allows private insurance coverage for services covered under this Act, subject to specified limitations. (Sec. 603) Declares that the purchase of any private insurance does not relieve the purchaser of the payment of premiums under this Act. Title VII: Expansion of Outcomes Research and Delivery of Services in Underserved Areas - Amends: (1) the Social Security Act to authorize appropriations for health care outcomes research; and (2) the Public Health Service Act to authorize grants to local communities to finance health-related education of residents, provided such residents agree to practice in a health-related field in that community for at least four years after graduation, and to authorize appropriations for the National Health Service Corps. (Sec. 703) Mandates grants to expand the availability of comprehensive primary health services in medically underserved areas. Title VIII: Malpractice Reform - Requires the Board to make grants to States for the development and implementation of medical malpractice reforms meeting specified criteria. Authorizes appropriations. Title IX: Effective Dates; Terminations; Transition; Relation to ERISA - Repeals: (1) titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act; (2) provisions of the Internal Revenue Code relating to hospital insurance; and (3) specified provisions of Federal law relating to the Civilian Health and Medical Program of the Uniformed Services and to health benefits for Federal officials and employees. (Sec. 903) Requires the Board to recommend to the Congress amendment or repeal of any other Federal program inconsistent with or duplicative of the principles of this Act.
United States · United States Congress · 2 April 1993
TABLE OF CONTENTS: Title I: Definitions Title II: Public Water Systems Title III: Protection of Underground Sources of Drinking Water Title IV: General Provisions Water Supply Protection Act of 1993 - Title I: Definitions - Amends the Safe Drinking Water Act to revise definitions. Title II: Public Water Systems - Directs the Administrator of the Environmental Protection Agency, if a contaminant occurs in drinking water at a level posing an unacceptable risk to public health or welfare, to promulgate national primary drinking water regulations that establish maximum contaminant levels or drinking water source protection or treatment requirements. Sets forth conditions under which a maximum contaminant level will be applied to a public water system. Authorizes each regulation that includes a standard for a chronic contaminant or requires treatment or source protection to include requirements for risk vulnerability assessments of such systems. Provides for treatment and source protection requirements if: (1) water treatment technology cannot reduce ambient levels of a contaminant to the maximum contaminant level that would otherwise be promulgated; or (2) commercially available water quality analytical methods are not capable of reliable quantification at the maximum level that would otherwise be promulgated. Continues the implementation of existing regulations for contaminants that meet criteria for regulation under this Act. Revises provisions that currently set forth requirements for national drinking water regulations to require the Administrator to establish a National Water Contaminant Health and Aesthetic Quality Advisory Program. Establishes a repository of information concerning contaminants in drinking water and protective exposure levels as part of the Program. Provides for the incorporation of data associated with existing national primary and secondary drinking water regulations into the repository and rescinds such regulations on inclusion of such data. Directs the Administrator to list triennially at least 15 contaminants for which there is insufficient scientific data that may have entered into drinking water. Provides for data collection on such contaminants. Directs the Administrator to establish a National Water Treatment Technology Advisory Program and a National Drinking Water Source Protection Management Practices Advisory Program. Provides for data repositories as part of such Programs. Requires the Administrator to: (1) develop model curricula for institutions of higher education concerning the design and packaging of small flow treatment trains and drinking water source management and protection; and (2) establish annual contests to demonstrate innovative solutions to water treatment and source protection problems. Removes certain conditions on State authority to grant variances or exemptions to national primary drinking water regulations. Provides that no notice or hearing shall be required if a representative of a public water system provides documentation that the system is eligible for a variance or exemption. Directs the Administrator to prescribe regulations to ensure the national certification of public water systems operators and analytical laboratories. Title III: Protection of Underground Sources of Drinking Water - Conditions Federal funding for State wellhead protection areas on a State filling a position for a groundwater protection source coordinator. Title IV: General Provisions - Directs the Administrator to establish a partnership to demonstrate low-cost small flow water treatment technologies that can be used by very small public water systems to meet primary drinking water standards and develop means to simplify State approvals of such technologies. Requires the Administrator to report to the Congress on: (1) steps taken to coordinate potable groundwater protection; and (2) recommendations on alternative Federal legislation to simplify the cost-effective consolidation of small public water systems. Authorizes the Administrator to establish, and award grants for, a technical assistance program for rural and small public water systems. Authorizes appropriations. Extends the authorization of appropriations for specified State public water supervision and protection programs. Authorizes appropriations for grants to States to adopt uniform data repository, collection, and reporting systems for a water supply supervision program. Directs the Administrator to suspend regulations requiring monitoring for unregulated contaminants until the regulations are modified to ensure that: (1) the annual household cost of monitoring is reasonable in light of other needs for public health protection; (2) the requirements reflect one-time sampling and the maximum use of pooled samples; (3) the use of certain analytical and screening methods are fully exploited; and (4) liberal exceptions are provided for in cases where the probability of contamination is low. Authorizes appropriations.
United States · United States Congress · 2 April 1993
TABLE OF CONTENTS: Title I: Simplified Distribution Rules Title II: Increased Access to Pension Plans Title III: Nondiscrimination Provisions Title IV: Miscellaneous Simplification Pension Simplification Act of 1993 - Title I: Simplified Distribution Rules - Amends the Internal Revenue Code to repeal: (1) the $5,000 limitation on the exclusion of employees' death benefits; and (2) the five-year forward income averaging for lump-sum distributions. Establishes a method of taxing annuity payments by taking into account the investment in the contract and the number of anticipated payments. Title II: Increased Access to Pension Plans - Modifies certain simplified employee pensions with respect to allowable participants and participation requirements. Allows local governments and tax-exempt organizations to participate in cash or deferred arrangements. Authorizes the Secretary, as a condition of sponsorship, to prescribe rules defining the duties and responsibilities of certain master and prototype retirement plans. Title III: Nondiscrimination Provisions - Redefines the term "highly compensated employee" for pension, profit sharing, stock bonus plan, etc. purposes. Makes such an employee one who is a five-percent owner or who has compensation from the employer in excess of $50,000. Provides a special rule where no employees are treated as highly compensated. Provides alternative methods of satisfying the special nondiscrimination requirements applicable to elective deferrals and employer matching contributions. Modifies the two-part nondiscrimination test for elective contributions under cash or deferred arrangements by permitting the use of the average deferral percentage for nonhighly compensated employees for the preceding year to be used in determining the permitted average deferral percentage for highly compensated employees for the current year. Title IV: Miscellaneous Simplification - Revises the definition of a leased employee to mean one whose services are performed under the control of a service recipient, instead of one whose services are historically performed by employees. Provides that the cost-of-living adjustment with respect to any calendar year is based on the increase in the applicable index as of the close of the calendar quarter ending September of the preceding calendar year. Requires the rounding of such amounts. Establishes a contribution limit for owner-employees of retirement plans. Eliminates the special vesting rule for multiemployer plans. Permits certain employers to elect an alternative full funding limitation with respect to any defined benefit plan based solely on the accrued liability under such plan. Requires the Secretary to adjust the 150-percent current liability full funding limit for other plans if there is a revenue shortfall. Allows rural cooperative plans which include cash or deferred arrangements to make distributions to participants after attainment of age 59 1/2. Modifies the treatment of governmental plans with respect to limits on contributions and benefits. Makes the social security retirement age the uniform retirement age for purposes of discrimination testing. Makes uniform the penalty provisions applicable to certain pension reporting requirements. Defines affiliated employers for Treasury regulation purposes with respect to tax-exemption. Treats certain nonunion air pilots as a separate class of employees for nondiscrimination testing purposes. Provides special rules for distributions of deferred compensation plans of State and local governments and tax-exempt organizations. Provides that, for purposes of the excise tax, an employer reversion does not include certain amounts paid to the Federal Government by reason of certain government contracting regulations. Requires continuation of health coverage for employees, including retired employees of failed financial institutions. Declares that the health care continuation plan maintained by the Federal Deposit Insurance Corporation on June 25, 1992, and any other substantially similar plan maintained by such Corporation, satisfies continuation coverage requirements. Establishes the National Commission on Private Pension Plans to report to the President and congressional leaders on a review of existing Federal incentives and programs that encourage and protect private retirement savings. Requires the report to make recommendations for increasing the level and security of private retirement savings.
United States · United States Congress · 2 April 1993
Full-Service Schools Act - Establishes the Federal Interagency Work Group to facilitate collaboration among Federal agencies and make grants to States and local entities in order to integrate education, health, and social and human services for at-risk children and their families. Provides that the Group shall be composed of the Secretaries of Education, Health and Human Services, and Labor and funded equally by their departments. Sets forth Group duties and State and local eligibility requirements. Sets forth application requirements and grant limitations. Requires local programs to include activities to improve educational performance by: (1) reducing school dropout and teen pregnancy rates and the number of children in unsupervised settings; (2) increasing adult/family literacy and the number of students returning to school after dropping out; and (3) improving access to primary health care for families and their children. Allows local programs to develop a variety of programs to serve the comprehensive needs of students, including specified optional activities. Authorizes appropriations.
United States · United States Congress · 2 April 1993
Amends title XIX (Medicaid) of the Social Security Act to provide for Medicaid coverage of services furnished by certified nurse practitioners and clinical nurse specialists which are authorized under State law to be performed by such a nurse, regardless of whether or not such services are performed under the supervision of a physician or other health care provider. Defines "clinical nurse specialist" as an individual who: (1) is a registered nurse licensed to practice nursing in the State in which the individual furnishes services; and (2) has a master's degree in a clinical area of nursing from an accredited institution.
United States · United States Congress · 2 April 1993
Expresses the sense of the Congress that any legislation enacted to reform the health care system of the United States should not include price controls.
United States · United States Congress · 1 April 1993
National Health Safety Net Infrastructure Act - Title I: Capital Financing Assistance for Safety Net Health Care Facilities Providing Indigent Care - Amends the Social Security Act (SSA) to direct the Secretary of Health and Human Services to make payments for capital financing assistance to eligible health care facilities. Sets forth general eligibility requirements. Imposes certain public service responsibilities on health care facilities accepting capital financing assistance. Creates in the Treasury the Health Safety Net Infrastructure Trust Fund (Fund). Authorizes appropriations. Establishes a loan guarantee program under which the Trust Fund will provide a Federal guarantee of loan repayment to non-Federal lenders making loans to qualified health care facilities for health care facility replacement, modernization and renovation projects, and capital equipment acquisition. Establishes an interest rate subsidy program that provides a partial Federal subsidy of debt service payment where State or local entities demonstrate a significant commitment to financing health care facility replacement, modernization, and renovation projects by undertaking the issuance of bonds. Requires the Secretary to: (1) provide direct matching loans to eligible health care facilities unable otherwise to obtain essential financing; and (2) make direct grants to eligible health care facilities with urgent capital needs. Makes direct grants available for three types of projects: (1) emergency certification and licensure grants to facilities threatened with closure or loss of accreditation or certification of a facility or of essential services as a result of life or safety code violations or similar facility or equipment failures; (2) emergency grants for capital renovation, expansion, or replacement necessary to the maintenance or expansion of essential safety and health services; and (3) planning grants to facilities which require pre-approval assistance to meet regulatory requirements related to management and finance in order to apply for loans, loan guarantees, and interest subsidies under this Act. Amends the Internal Revenue Code to give tax-exempt status to bonds guaranteed by the Fund.
United States · United States Congress · 1 April 1993
Traumatic Brain Injury Act of 1993 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Administrator of the Agency for Health Care Policy and Research, to conduct a study concerning traumatic brain injury. Requires the study to seek to: (1) identify common therapeutic interventions which are used for the rehabilitation of individuals with traumatic brain injuries; and (2) develop practice guidelines for the rehabilitation of traumatic brain injury. Authorizes appropriations. Directs the Secretary, acting through the Director of the Centers for Disease Control and Prevention, to conduct studies concerning traumatic brain injury and establish a uniform reporting system. Authorizes appropriations. Directs the Secretary to cooperate with, and provide assistance to, public and private nonprofit entities to reduce the incidence of traumatic brain injury through the establishment and effectuation of prevention projects. Authorizes the Secretary to award grants to State and local entities, and to public or nonprofit private entities, to support: (1) special prevention and public awareness initiative projects; (2) model traumatic brain injury prevention, research, and support programs; (3) projects that study the service needs of individuals with traumatic brain injury; and (4) projects involving grants for services coordination. Authorizes appropriations. Authorizes the Secretary, acting through the Director of the National Institutes of Health, to provide assistance to public and private nonprofit entities to support the conduct of basic and applied research concerning traumatic brain injury, especially with respect to the biomechanics of brain injury. Authorizes appropriations. Directs the Secretary to award grants to States for the establishment of programs related to traumatic brain injury. Authorizes appropriations. Designates October 1993 as National Head Injury Month.
United States · United States Congress · 1 April 1993
Comprehensive Child Immunization Act of 1993 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to promulgate: (1) a list of vaccines that provide immunization against naturally occurring infectious diseases which are recommended for universal use in children; and (2) recommendations regarding the appropriate dosage and the ages of children at which each vaccine should be administered. Directs the Secretary to establish a national system to track the immunization status of children. Authorizes the Secretary to award grants to States to enable such States to establish and operate State immunization tracking registries, subject to specified conditions. Sets forth limitations on the use and disclosure of personally-identifiable information relating to a child who receives a recommended childhood vaccine or to the parent or guardian of such a child. Directs the Secretary to provide for the distribution without charge of such vaccines purchased by the Secretary under the Social Security Act to health care providers who serve children and meet other specified requirements. Permits a health care provider receiving such a vaccine to: (1) use it only for administration to children; and (2) impose a fee for the administration of the vaccine, but not for the vaccine itself, subject to specified limitations. Authorizes appropriations. Requires that funds made available for the purpose of strengthening the public health infrastructure and used in the delivery of childhood immunization services be used for activities consistent with a strategic plan that meets nationally established immunization goals developed by the State in consultation with representatives of health care providers, health centers, State agencies serving young children, and other entities involved in the prevention and control of vaccine-preventable illnesses. Revises the National Vaccine Injury Compensation Program regarding: (1) addition of vaccines to the vaccine injury table; (2) the limitation of actions; (3) the extension of time for decision in proceedings on petitions for vaccine-related injuries or deaths; and (4) vaccine information materials (requiring a concise description of vaccine risks and benefits and a statement of Program availability).
United States · United States Congress · 1 April 1993
Comprehensive Child Health Immunization Act of 1993 - Amends the Social Security Act to direct the Secretary of Health and Human Services to regularly contract for the purchase of specified childhood vaccines in amounts: (1) necessary for distribution under the Public Health Service Act to meet anticipated needs and for the maintenance of a reserve vaccine supply sufficient for a six-month period; and (2) which take into account minimum waste due to breakage or other unavoidable losses. Requires: (1) the Secretary to negotiate a reasonable price for vaccines to be purchased; and (2) a manufacturer of such vaccines to provide cost or pricing data in support of the manufacturer's proposed price (and other data whenever the Secretary determines that contract modifications are necessary). Sets forth provisions regarding: (1) the confidentiality of such data; (2) the prohibition of additional shipping or handling charges; (3) multiple suppliers; (4) reporting requirements; (5) funding the program under this Act (including establishment in the Treasury of a Comprehensive Child Immunization Account); and (6) termination of the program. Directs that: (1) the term "early and periodic screening, diagnostic, and treatment services" under such Act include administration of specified childhood vaccines, taking into account the health history of the individual (currently, appropriate immunizations according to age and health history); and (2) payments from State plans to providers include reimbursement for the administration of recommended childhood vaccines. Directs the Secretary to promulgate: (1) a list of vaccines that provide immunization against naturally occurring infectious diseases which are recommended for universal use in children; and (2) recommendations regarding appropriate dosages and ages of children at which each vaccine should be administered. Amends: (1) the Internal Revenue Code to remove a limitation on the use of the Vaccine Injury Compensation Trust Fund; and (2) the Omnibus Budget Reconciliation Act of 1989 to provide for a permanent extension of authority to impose taxes for such Fund. Directs the Secretary to implement a program to ensure participation of all health care providers in a national immunization tracking system.
United States · United States Congress · 1 April 1993
TABLE OF CONTENTS: Title I: Health Care Access for Uninsured and Medically Underserved Individuals Subtitle A: Tax Credits for Low and Moderate Income Individuals Subtitle B: Rural Health Initiatives Subtitle C: Certified Model Health Care Insurance Benefits Plans Title II: Health Care Cost Control Subtitle A: Medical Malpractice Reform Subtitle B: Standardization of Claims Processing Subtitle C: Electronic Medical Data Standards Subtitle D: Preventive Health Practices Promotion Title III: Long-Term Care and Senior Health Promotion Subtitle A: Long-Term Care Insurance Promotion Subtitle B: Medicare Benefit Improvements Subtitle C: Senior Health Insurance Consumer Protection Comprehensive American Health Care Act - Title I: Health Care Access for Uninsured and Medically Underserved Individuals - Subtitle A: Tax Credits for Low and Moderate Income Individuals - Amends provisions of the Internal Revenue Code relating to refundable credits to allow a credit for a portion of the qualified health insurance expenses paid by an individual who is not covered by a health plan maintained by an employer of the individual or the individual's spouse. Provides for coordination with advance payments of credits, special rules relating to Medicare-eligible individuals and subsidized expenses, and coordination with the minimum tax. (Sec. 101) Directs the Secretary of: (1) the Treasury to enter into an agreement with each State for advance payments of the credit to individuals in the form of certificates usable for the purchase of health insurance; and (2) Health and Human Services (the Secretary) to establish a program to inform the public of the availability of the health insurance credit. Sets forth special rules regarding self-employed individuals. Excludes expenses paid as a credit from treatment as expenses paid for medical care under provisions relating to itemized deductions. Subtitle B: Rural Health Initiatives - Amends: (1) title XVIII (Medicare) of the Social Security Act to direct the Secretary and the Prospective Payment Assessment Commission to each submit to the Congress a report recommending a methodology for the elimination of the system of determining separate average standardized amounts for hospitals in large urban, other urban, or rural areas; (2) National Health Service Corps Scholarship Program and Loan Repayment Program provisions of the Public Health Service Act to set forth additional priorities in the approval of applications and the acceptance of contracts; and (3) the Internal Revenue Code to exclude National Health Service Corps Loan Repayment Program payments from gross income. (Sec. 114) Directs the Secretary to provide for a demonstration project evaluating the availability, accessibility, and use of prenatal care services by pregnant women residing in rural areas. (Sec. 115) Amends the Public Health Service Act to direct the Secretary to make grants to county health departments to provide preventive health services. (Sec. 116) Requires the Secretary to: (1) review the requirements in regulations with respect to rural hospitals developed under specified provisions of the Social Security Act, including standards related to staffing requirements, to determine which requirements could be made less administratively and economically burdensome; and (2) conduct a study to determine factors preventing or discouraging physicians from volunteering to provide health care services in underserved areas. Subtitle C: Certified Model Health Care Insurance Benefits Plans - Directs the Secretary to develop model health care insurance benefits plans. Title II: Health Care Cost Control - Subtitle A: Medical Malpractice Reform - Applies this subtitle to any civil action against any individual based on professional medical malpractice, in any State or Federal court, for damages for physical injury, or physical or mental pain or suffering, or economic loss. (Sec. 202) Requires a court to award costs and attorney's fees to the prevailing party. (Sec. 203) Prohibits joint and several liability in actions under this subtitle, except in cases of concerted action. Allows a person to be found liable only for their pro rata share of fault. (Sec. 204) Requires each attorney in cases under this subtitle to advise the party they represent of the existence of alternative dispute resolution options, including extrajudicial proceedings. Requires the court, if all parties agree to alternative proceedings, to issue an order governing the conduct of the proceedings. Makes such issuance a waiver, by each party subject to the order, of the right to proceed further in court. Subtitle B: Standardization of Claims Processing - Directs the Secretary to adopt standards relating to: (1) data elements for use in paper and electronic claims processing under health benefit plans, as well as for use in utilization review and management of care; (2) uniform claims forms; and (3) uniform electronic transmission of the data elements. Provides for periodic review and revision of standards. Subtitle C: Electronic Medical Data Standards - Directs the Secretary to: (1) promulgate standards for hospitals concerning electronic medical data; and (2) establish an advisory commission. Subtitle D: Preventive Health Practices Promotion - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary to develop a summary of recommended preventive health care practices for elderly individuals entitled to Medicare benefits. Requires distribution of the summary when an individual first becomes eligible for benefits under specified provisions and in conjunction with general mailings to individuals eligible for Medicare benefits. Title III: Long-Term Care and Senior Health Promotion - Subtitle A: Long-Term Care Insurance Promotion - Amends the Internal Revenue Code to require that: (1) a long-term care insurance contract be treated as a health insurance contract; (2) amounts received under such a contract be treated as received for personal injuries or sickness; and (3) any employer plan providing qualified long-term care services be treated as an accident or health plan. Adds long-term care services to the definition of medical care in provisions relating to itemized deductions. (Sec. 303) Prohibits employer payments for long-term care insurance from being treated as deferred compensation. Prohibits treating amounts paid or incurred for any long-term care insurance contract as deferred compensation in connection with cafeteria plans. (Sec. 304) Allows a tax credit for a portion of the qualified long-term care premiums paid. Provides for coordination with regard to advance payments of credit and with regard to minimum tax. Directs the Secretary of the Treasury to enter into an agreement with each State for advance payments of the credit to individuals in the form of certificates usable for the purchase of long-term care insurance. Directs the Secretary to establish a program to inform the public of the availability of the credit. (Sec. 305) Excludes early distributions from qualified retirement plans used to pay for long-term care insurance contracts from the ten percent tax imposed on other early distributions. Prohibits the recognition of gain or loss on the exchange of a contract of life insurance or an endowment or annuity contract for a long-term care insurance contract. Subtitle B: Medicare Benefit Improvements - Amends title XVIII (Medicare) of the Social Security Act to add in-home respite care for chronically dependent individuals to the list of benefits under part B (Supplementary Medical Insurance) of the Medicare program. (Sec. 312) Adds home intravenous drug therapy services to the list of entitlement services under Medicare and authorizes payments of certain amounts for the services from the Federal Supplementary Medical Insurance Trust Fund. Excludes the services from provisions requiring a deductible payment. Authorizes the Secretary to enter into contracts with agencies or organizations to facilitate payment to providers of the services on a regional basis. (Sec. 313) Describes the circumstances under which nursing care and home health aide services will be considered to be provided or needed on an intermittent basis. Allows Medicare part B payments to be made for such services. Subtitle C: Senior Health Insurance Consumer Protection - Directs the Secretary to: (1) establish a procedure for certification by the Secretary of insurance policies for the elderly as meeting minimum standards set forth in this subtitle; and (2) conduct a study and report to the Congress on health insurance policies for the elderly.
United States · United States Congress · 1 April 1993
TABLE OF CONTENTS: Title I: Locate and Case Tracking Title II: Establishment Title III: Parentage Title IV: Enforcement Title V: Collection and Distribution Title VI: Federal Role Title VII: State Role Title VIII: Effective Date Interstate Child Support Enforcement Act - Title I: Locate and Case Tracking - (Sec. 101) Amends part D (Child Support and Establishment of Paternity) of title IV of the Social Security Act (SSA) to allow the Federal Parent Locator System (FPLS) to be used for parentage establishment and child support and visitation enforcement if there are appropriate safeguards. (Sec. 102) Requires the Secretary of the Treasury to enter into an agreement to provide the Secretary (Secretary) of Health and Human Services (HHS) with access to quarterly estimated Federal income tax returns filed with the Internal Revenue Service (IRS). Requires that State agencies charged with child support enforcement maintain child support order registries and be allowed access to medical, financial, employment, and other specified data base information on absent parents. Expresses the sense of the Congress that the Secretary should investigate accessing certain Federal data banks not already linked with FPLS. (Sec. 103) Requires the Secretary to expand FPLS to provide State agencies and courts with a national locate and case tracking network. (Sec. 104) Requires that private attorneys and pro se obligees be allowed limited access to State locate information and enforcement techniques for purposes of establishing and enforcing child support and other orders if there are appropriate safeguards. (Sec. 105) Requires the heads of national and regional individual tracking systems to allow child support enforcement agencies access to their information. (Sec. 106) Requires that States: (1) broadcast failure-to-appear warrants, capiases, and bench warrants issued in parentage and child support proceedings over their crime information systems; and (2) remit any subsequent forfeiture to the child support obligee to the extent of any child support arrearage if a defendant posts security after being arrested. Title II: Establishment - (Sec. 201) Amends SSA title IV part D to set forth requirements for State laws on service of process and jurisdiction in child support and parentage actions. Declares that the Congress finds that due process is satisfied if State courts exercise personal jurisdiction over a nonresident who is the parent or presumed parent of a resident child in order to establish, enforce, or modify a child support order or to establish parentage. Requires States to recognize and enforce parentage and child support orders of other States where jurisdiction has been properly exercised. Specifies the conditions under which a State court may modify a parentage or child support order made by another State court. (Sec. 202) Provides for service of process on Federal employees and members of the armed forces relating to child support, alimony, and parentage obligations. (Sec. 203) Requires that parents' identification and locate information be filed with the State court adjudicating parentage and child support actions. Requires safeguards on such information where there is a court order for the physical protection of the child or one parent entered against the other parent. (Sec. 204) Requires State child support agencies to timely notify any individual owed child support of all hearings in which such support might be established, modified, or enforced, and promptly provide copies of any such orders. (Sec. 205) Requires States to allow parties seeking both parentage and child support establishment in a judicial proceeding to bring a joint action in a single cause of action. Sets forth guidelines for uniform State procedures regarding jurisdiction and venue, and Federal employee residential status. (Sec. 206) Amends the Consumer Credit Protection Act (CCPA) to allow appropriate State agencies to obtain from credit reporting agencies information relevant to the setting of a child support award without having to obtain a court order. (Sec. 207) Creates a National Child Support Guidelines Commission to study and report to the President and the Congress on national child support guidelines, and to develop such guidelines for congressional consideration should it be advisable. (Sec. 208) Amends SSA title IV part D to specify certain principles to be included in State child support guidelines. (Sec. 209) Requires States to provide for continuation of a parental child support obligation until a child's marriage, emancipation by a court, or the later of a child's 18th birthday or graduation from high school, except in cases of disabilities arising during childhood or where a court (as allowed by this Act) has ordered support payable to an adult child in college. (Secs. 210 and 211) Requires the new Assistant Secretary of the Office of Child Support Enforcement (OCSE) (designated under title VI of this Act) to: (1) draft and distribute a national subpoena duces tecum for use by child support agencies and others to reach employee income information; and (2) develop a uniform abstract of a child support order for State court use. (Sec. 212) Requires States to: (1) list on marriage licenses the applicants' social security numbers; and (2) use procedures that require individuals who have been issued subpoenas to produce and deliver documents to or to appear at a court or administrative agency on a certain date. Title III: Parentage - (Sec. 301) Aments SSA title IV part D to: (1) require States to provide for hospital-based paternity outreach programs and adopt various specified procedures related to paternity establishment; and (2) provide for 90 percent Federal matching for such programs. Title IV: Enforcement - (Secs. 401 and 402) Amends SSA title IV part D to: (1) revise anti-assignment provisions to allow child support to be withheld from certain governmental sources; and (2) require procedures for State verification of W-4 form information on outstanding child support obligations and imposition of monetary penalties for failures involving W-4 form reporting and subsequent employer withholding of child support obligations. (Sec. 402) Requires: (1) the Secretary of the Treasury to modify the W-4 form completed by new employees to include information on outstanding child support obligations; and (2) employers to provide a copy of such form to the appropriate State child support enforcement agency. Amends the Internal Revenue Code (IRC) to require employers to withhold from employee wages amounts owed for child support. (Sec. 403) Requires States to mandate that any individual or entity engaged in commerce, as a condition of doing business in that State, honor income withholding notices or orders issued by a court or agency of any other State, and maintain records of payroll deductions for child support obligations. (Sec. 404) Specifies the priority for applying proceeds withheld from income for current and past due child support obligations and health insurance for dependent children. (Sec. 405) Allows workers' compensation income to be subject to income withholding. (Sec. 406) Amends CCPA with respect to State laws and garnishments for securing child support. Gives Federal debts a lower priority than child support debts when the obligor's disposable income cannot satisfy both debts through withholding. Prohibits employers from discharging any employee whose earnings are subject to garnishment for additional indebtedness arising from a child support order. (Secs. 407 through 412, 414, 416 through 421, and 424) Requires States to: (1) provide that the election of remedies prohibition does not apply in child support cases; (2) refuse to issue or renew professional and business licenses of noncustodial parents subject to outstanding child support warrants; (3) prohibit motor vehicle departments from issuing or renewing the driver's licenses of any such parent; (4) authorize post-judgment bank account seizure without a separate court order to collect overdue child support payments; (5) impose liens against lottery or gambler's winnings, insurance settlements or policy payouts, court awards, judgments, or settlements, and property seized in forfeiture cases to collect such payments; (6) void fraudulent conveyances of property made to avoid paying child support; (7) allow the posting of a cash bond, security deposit, or personal undertaking to provide for timely child support payments in cases not involving absent parents; (8) authorize attachment of a child support obligor's retirement investment funds without a separate court order to collect overdue child support payments; (9) mandate reporting to credit bureaus of overdue child support equaling two month's child support payment; (10) enact laws that provide for criminal penalties for non-support; (11) permit enforcement of any child support order until at least the child's 30th birthday; (12) assess and collect interest on all child support judgments; (13) provide for health care insurance for the child; and (14) adopt without material change the officially approved version of the Uniform Interstate Family Support Act. (Sec. 408) Prohibits States and the Federal Government from issuing or renewing professional and business licenses of individuals delinquent in making child support payments until the license hold is released. (Sec. 413) Expresses the sense of the Congress that the IRS Commissioner should instruct IRS field officers and agents to give a high priority to requests for the use of full collection in delinquent child support cases. Requires the Secretary of Treasury to simplify the full collection process and reduce the amount of child support arrearage needed before an individual may apply for full collection. (Sec. 415) Permits Federal and State tax refund procedures to be used by non-AFDC (Aid to Families with Dependent Children) (SSA title IV part A) recipients to collect past-due child support regardless of the child's age. (Sec. 422) Amends the Federal bankruptcy code to: (1) allow parentage and child support case establishment, modification, and enforcement to proceed uninterrupted after a bankruptcy petition is filed; (2) treat as outside chapter 11, 12, or 13 plans debt owed to child support creditors, except as specified; and (3) allow a claim for payment of a debt for child support to be asserted in court. (Sec. 423) Sets forth requirements pertaining to parentage establishment and child support payments in the armed forces. Title V: Collection and Distribution - (Secs. 501 through 504) Amends SSA title IV part D to: (1) set priorities for State distribution of child support collections; (2) require States to limit claims against noncustodial parents for reimbursement of a child's portion of AFDC to the amount specified under a child support order; (3) allow States to assess charges above the application fee for non-AFDC child support services against persons other than custodial parents; and (4) require States to provide for collection and disbursement points for child support cases. (Sec. 501) Authorizes the Comptroller General to analyze the existing child support distribution system and authorize, under certain circumstances, pilot projects for the distribution of arrearages in a specified manner. Amends the IRC to revise the Federal income tax refund offset mechanism. Title VI: Federal Role - (Sec. 601) Amends SSA title IV part D to: (1) designate the separate organizational unit charged under current law with various child support and parentage responsibilities as the OCSE; and (2) change OCSE's organizational structure. (Secs. 602 and 603) Requires the new OCSE Assistant Secretary to provide training assistance to the States and study staffing at State child support enforcement programs. (Sec. 602) Requires States to provide for training for child support personnel. (Sec. 604) Requires the Comptroller General to study and report to the Congress on the incentive formula operating with respect to State child support agencies. (Sec. 605) Defines "child support" to include periodic and lump sum payments for current and past-due economic support, payments of premiums for health insurance for children, payments for or provision of child care, and payments for educational services. (Secs. 606 and 607) Requires the Secretary to: (1) contract for a study of and report to the Congress on the OCSE audit process to improve the criteria and methodology for auditing State child support enforcement agencies; and (2) make grants to provide for demonstration projects for the purpose of establishing or improving a system of assured minimum child support payments. Authorizes appropriations. Title VII: State Role - (Sec. 701) Amends SSA title IV part D to prohibit States from denying establishment, enforcement, or modification services to applicants because of nonresidency. (Secs. 702, 703, and 705) Requires States to: (1) promote the greatest economic security possible for children, within the obligor's ability to pay; (2) provide custodial parents with certain information; and (3) allow changes in child support payees without a court hearing or order. (Sec. 704) Expresses the sense of the Congress that State and local child support enforcement agencies should provide: (1) offices in easily accessible locations near public transportation; (2) office hours that allow parents to meet with attorneys and caseworkers without taking time off work; and (3) office environments suitable for discussion of matters related to privacy. Title VIII: Effective Date - (Sec. 801) Sets forth the effective date of this Act.
United States · United States Congress · 1 April 1993
TABLE OF CONTENTS: Title I: Locate and Case Tracking Title II: Establishment Title III: Parentage Title IV: Enforcement Title V: Collection and Distribution Title VI: Federal Role Title VII: State Role Title VIII: Effective Date Interstate Child Support Enforcement Act - Title I: Locate and Case Tracking - (Sec. 101) Amends part D (Child Support and Establishment of Paternity) of title IV of the Social Security Act (SSA) to allow the Federal Parent Locator System (FPLS) to be used for parentage establishment and child support and visitation enforcement if there are appropriate safeguards. (Sec. 102) Requires the Secretary of the Treasury to enter into an agreement to provide the Secretary (Secretary) of Health and Human Services (HHS) with access to quarterly estimated Federal income tax returns filed with the Internal Revenue Service (IRS). Requires that State agencies charged with child support enforcement maintain child support order registries and be allowed access to medical, financial, employment, and other specified data base information on absent parents. Expresses the sense of the Congress that the Secretary should investigate accessing certain Federal data banks not already linked with FPLS. (Sec. 103) Requires the Secretary to expand FPLS to provide State agencies and courts with a national locate and case tracking network. (Sec. 104) Requires that private attorneys and pro se obligees be allowed limited access to State locate information and enforcement techniques for purposes of establishing and enforcing child support and other orders if there are appropriate safeguards. (Sec. 105) Requires the heads of national and regional individual tracking systems to allow child support enforcement agencies access to their information. (Sec. 106) Requires that States: (1) broadcast failure-to-appear warrants, capiases, and bench warrants issued in parentage and child support proceedings over their crime information systems; and (2) remit any subsequent forfeiture to the child support obligee to the extent of any child support arrearage if a defendant posts security after being arrested. Title II: Establishment - (Sec. 201) Amends SSA title IV part D to set forth requirements for State laws on service of process and jurisdiction in child support and parentage actions. Declares that the Congress finds that due process is satisfied if State courts exercise personal jurisdiction over a nonresident who is the parent or presumed parent of a resident child in order to establish, enforce, or modify a child support order or to establish parentage. Requires States to recognize and enforce parentage and child support orders of other States where jurisdiction has been properly exercised. Specifies the conditions under which a State court may modify a parentage or child support order made by another State court. (Sec. 202) Provides for service of process on Federal employees and members of the armed forces relating to child support, alimony, and parentage obligations. (Sec. 203) Requires that parents' identification and locate information be filed with the State court adjudicating parentage and child support actions. Requires safeguards on such information where there is a court order for the physical protection of the child or one parent entered against the other parent. (Sec. 204) Requires State child support agencies to timely notify any individual owed child support of all hearings in which such support might be established, modified, or enforced, and promptly provide copies of any such orders. (Sec. 205) Requires States to allow parties seeking both parentage and child support establishment in a judicial proceeding to bring a joint action in a single cause of action. Sets forth guidelines for uniform State procedures regarding jurisdiction and venue and Federal employee residential status. (Sec. 206) Amends the Consumer Credit Protection Act (CCPA) to allow appropriate State agencies to obtain from credit reporting agencies information relevant to the setting of a child support award without having to obtain a court order. (Sec. 207) Creates a National Child Support Guidelines Commission to study and report to the President and the Congress on national child support guidelines and to develop such guidelines for congressional consideration should it be advisable. (Sec. 208) Amends SSA title IV part D to specify certain principles to be included in State child support guidelines. (Sec. 209) Requires States to provide for continuation of a parental child support obligation until a child's marriage, emancipation by a court, or the later of a child's 18th birthday or graduation from high school, except in cases of disabilities arising during childhood or where a court (as allowed by this Act) has ordered support payable to an adult child in college. (Secs. 210 and 211) Requires the new Assistant Secretary of the Office of Child Support Enforcement (OCSE) (designated under title VI of this Act) to: (1) draft and distribute a national subpoena duces tecum for use by child support agencies and others to reach employee income information; and (2) develop a uniform abstract of a child support order for State court use. (Sec. 212) Requires States to: (1) list on marriage licenses the applicants' social security numbers; and (2) use procedures that require individuals who have been issued subpoenas to produce and deliver documents to or to appear at a court or administrative agency on a certain date. Title III: Parentage - (Sec. 301) Amends SSA title IV part D to: (1) require States to provide for hospital-based paternity outreach programs and adopt various specified procedures related to paternity establishment; and (2) provide for 90 percent Federal matching for such programs. Title IV: Enforcement - (Secs. 401 and 402) Amends SSA title IV part D to: (1) revise anti-assignment provisions to allow child support to be withheld from certain governmental sources; and (2) require procedures for State verification of W-4 form information on outstanding child support obligations and imposition of monetary penalties for failures involving W-4 form reporting and subsequent employer withholding of child support obligations. (Sec. 402) Requires: (1) the Secretary of the Treasury to modify the W-4 form completed by new employees to include information on outstanding child support obligations; and (2) employers to provide a copy of such form to the appropriate State child support enforcement agency. Amends the Internal Revenue Code (IRC) to require employers to withhold from employee wages amounts owed for child support. (Sec. 403) Requires States to mandate that any individual or entity engaged in commerce, as a condition of doing business in that State, honor income withholding notices or orders issued by a court or agency of any other State, and maintain records of payroll deductions for child support obligations. (Sec. 404) Specifies the priority for applying proceeds withheld from income for current and past due child support obligations and health insurance for dependent children. (Sec. 405) Allows workers' compensation income to be subject to income withholding. (Sec. 406) Amends CCPA with respect to State laws and garnishments for securing child support. Gives Federal debts a lower priority than child support debts when the obligor's disposable income cannot satisfy both debts through withholding. Prohibits employers from discharging any employee whose earnings are subject to garnishment for additional indebtedness arising from a child support order. (Secs. 407 through 412, 414, 416 through 421, and 424) Requires States to: (1) provide that the election of remedies prohibition does not apply in child support cases; (2) refuse to issue or renew professional and business licenses of noncustodial parents subject to outstanding child support warrants; (3) prohibit motor vehicle departments from issuing or renewing the driver's licenses of any such parent; (4) authorize post-judgment bank account seizure without a separate court order to collect overdue child support payments; (5) impose liens against lottery or gambler's winnings, insurance settlements or policy payouts, court awards, judgments, or settlements, and property seized in forfeiture cases to collect such payments; (6) void fraudulent conveyances of property made to avoid paying child support; (7) allow the posting of a cash bond, security deposit, or personal undertaking to provide for timely child support payments in cases not involving absent parents; (8) authorize attachment of a child support obligor's retirement investment funds without a separate court order to collect overdue child support payments; (9) mandate reporting to credit bureaus of overdue child support equaling two month's child support payment; (10) enact laws that provide for criminal penalties for non-support; (11) permit enforcement of any child support order until at least the child's 30th birthday; (12) assess and collect interest on all child support judgments; (13) provide for health care insurance for the child; and (14) adopt without material change the officially approved version of the Uniform Interstate Family Support Act. (Sec. 408) Prohibits States and the Federal Government from issuing or renewing professional and business licenses of individuals delinquent in making child support payments until the license hold is released. (Sec. 413) Expresses the sense of the Congress that the IRS Commissioner should instruct IRS field officers and agents to give a high priority to requests for the use of full collection in delinquent child support cases. Requires the Secretary of Treasury to simplify the full collection process and reduce the amount of child support arrearage needed before an individual may apply for full collection. (Sec. 415) Permits Federal and State tax refund procedures to be used by non-AFDC (Aid to Families with Dependent Children) (SSA title IV part A) recipients to collect past-due child support regardless of the child's age. (Sec. 422) Amends the Federal bankruptcy code to: (1) allow parentage and child support case establishment, modification, and enforcement to proceed uninterrupted after a bankruptcy petition is filed; (2) treat as outside chapter 11, 12, or 13 plans debt owed to child support creditors, except as specified; and (3) allow a claim for payment of a debt for child support to be asserted in court. (Sec. 423) Sets forth requirements pertaining to parentage establishment and child support payments in the armed forces. Title V: Collection and Distribution - (Secs. 501 through 504) Amends SSA title IV part D to: (1) set priorities for State distribution of child support collections; (2) require States to limit claims against noncustodial parents for reimbursement of a child's portion of AFDC to the amount specified under a child support order; (3) allow States to assess charges above the application fee for non-AFDC child support services against persons other than custodial parents; and (4) require States to provide for collection and disbursement points for child support cases. (Sec. 501) Authorizes the Comptroller General to analyze the existing child support distribution system and authorize, under certain circumstances, pilot projects for the distribution of arrearages in a specified manner. Amends the IRC to revise the Federal income tax refund offset mechanism. Title VI: Federal Role - (Sec. 601) Amends SSA title IV part D to: (1) designate the separate organizational unit charged under current law with various child support and parentage responsibilities as the OCSE; and (2) change OCSE's organizational structure. (Secs. 602 and 603) Requires the new OCSE Assistant Secretary to provide training assistance to the States and study staffing at State child support enforcement programs. (Sec. 602) Requires States to provide for training for child support personnel. (Sec. 604) Requires the Comptroller General to study and report to the Congress on the incentive formula operating with respect to State child support agencies. (Sec. 605) Defines "child support" to include periodic and lump sum payments for current and past-due economic support, payments of premiums for health insurance for children, payments for or provision of child care, and payments for educational services. (Secs. 606 and 607) Requires the Secretary to: (1) contract for a study of and report to the Congress on the OCSE audit process to improve the criteria and methodology for auditing State child support enforcement agencies; and (2) make grants to provide for demonstration projects for the purpose of establishing or improving a system of assured minimum child support payments. Authorizes appropriations. Title VII: State Role - (Sec. 701) Amends SSA title IV part D to prohibit States from denying establishment, enforcement, or modification services to applicants because of nonresidency. (Secs. 702, 703, and 705) Requires States to: (1) promote the greatest economic security possible for children, within the obligor's ability to pay; (2) provide custodial parents with certain information; and (3) allow changes in child support payees without a court hearing or order. (Sec. 704) Expresses the sense of the Congress that State and local child support enforcement agencies should provide: (1) offices in easily accessible locations near public transportation; (2) office hours that allow parents to meet with attorneys and caseworkers without taking time off work; and (3) office environments suitable for discussion of matters related to privacy. Title VIII: Effective Date - (Sec. 801) Sets forth the effective date of this Act.
United States · United States Congress · 1 April 1993
Medical Malpractice Liability Reform Act of 1993 - Requires any medical malpractice liability claim to be brought within two years following the time when the alleged injury should have reasonably been discovered, but in no event may the action be brought later than four years after the alleged injury occurred. Prohibits any medical malpractice liability action from being brought in any State court unless there has been an initial resolution under an alternative dispute resolution system. Requires a pre-trial settlement conference, before the trial of any medical malpractice liability action, where each party must present a settlement offer. Sets limits on damages and attorney's fees. Provides a defendant charged with negligence a complete defense if the appropriate practice guideline was followed. Amends title XI (General Provisions) of the Social Security Act to set aside funds for practice guidelines. Sets forth requirements for alternative dispute resolution systems.
United States · United States Congress · 1 April 1993
TABLE OF CONTENTS: Title I: Cancellation and Suspension Title II: Data Collection Title III: Amendments to the Federal Food, Drug, and Cosmetic Act Food Quality Protection Act of 1993 - Title I: Cancellation and Suspension - Amends provisions of the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) relating to cancellations, changes in classifications, or other terms of registration with respect to the authority of the Administrator of the Environmental Protection Agency. Requires that a rulemaking under such provisions be based on a validated test or other significant evidence raising prudent concerns of unreasonable adverse effects to man or to the environment. Denies registration applications that are not in compliance with this Act. Title II: Data Collection - Directs the Secretary of Agriculture to collect pesticide use data of statewide or regional significance for all the major crops and crops of dietary significance. Mandates research, development, and dissemination of integrated pest management techniques and other pest control methods that enable producers to reduce or eliminate application of pesticides which pose a greater than negligible dietary risk to humans. Title III: Amendments to the Federal Food, Drug, and Cosmetic Act - Amends the Federal Food, Drug, and Cosmetic Act (FDCA) to define, subject to exception, "pesticide chemical" as it is defined in FIFRA. Deems a food adulterated if it bears or contains: (1) a pesticide chemical residue that is unsafe; or (2) a new animal drug or conversion product that is unsafe. Sets forth requirements relating to tolerances and exemptions from tolerances for pesticide chemical residues in food, including residues of degradation products. Prohibits establishment of a tolerance higher than a level the Administrator determines is adequate to protect the public health. Allows a greater than negligible dietary risk if: (1) use protects from greater adverse health effects to humans or the environment; (2) use avoids greater risks from another pesticide; or (3) the unavailability of the pesticide would reduce the availability of an adequate, wholesome, and economical domestic supply of the food, and the adverse effects from the reduction would outweigh the risk posed by the residue. Allows the Administrator to issue an exemption from the requirement for a tolerance only if a tolerance is not needed to protect the public health, in view of the levels of dietary exposure that could reasonably be expected to occur. Prohibits a final rule that revokes, modifies, or suspends a tolerance or exemption until the Administrator has taken any necessary action under FIFRA with respect to the registration of the pesticide involved. Requires the Administrator, if the Administrator takes certain actions with respect to the registration of a pesticide, to revoke any tolerance or exemption that allows the presence of the chemical or chemical residue. Requires the suspension of any tolerance or exemption upon the suspension of the use of an associated registered pesticide. Provides for: (1) tolerances for unavoidable residues in the case of a residue of a canceled or suspended pesticide chemical that will unavoidably persist in the environment and be present in or on a food; and (2) residues resulting from an application which was lawful at the time of application. Prohibits, subject to exception, a State from enforcing any limit on a qualifying pesticide chemical residue in or on any food which is not identical to Federal requirements. Prohibits a State from enforcing a residue limit which was lawful at the time of application. Authorizes appropriations for increased monitoring of pesticide residues in imported and domestic food.
United States · United States Congress · 1 April 1993
Authorizes the Secretary of Veterans Affairs to enter into an agreement to permit the Caring Place at Loyola, Inc., an Illinois nonprofit organization, to establish on the grounds of the Edward Hines, Jr., Department of Veterans Affairs Hospital in Hines, Illinois, a facility for providing temporary accommodations for family members of severely ill children being treated at the Loyola University of Chicago Medical Center and other hospitals.
United States · United States Congress · 1 April 1993
Comprehensive Child Immunization Act of 1993 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to promulgate: (1) a list of vaccines that provide immunization against naturally occurring infectious diseases which are recommended for universal use in children; and (2) recommendations regarding the appropriate dosage and the ages of children at which each vaccine should be administered. Directs the Secretary to: (1) periodically purchase recommended childhood vaccines in amounts necessary for distribution to meet anticipated needs and for maintenance of a six-month reserve supply; and (2) negotiate a reasonable price for such vaccine. Requires a manufacturer of recommended childhood vaccine to provide costs or pricing data. Sets forth provisions regarding: (1) the confidentiality of such data; (2) the prohibition of additional shipping or handling charges; (3) multiple suppliers; and (4) reporting requirements. Directs the Secretary to provide for the distribution without charge of such vaccines to health care providers who serve children and meet other specified requirements. Permits a health care provider receiving a vaccine under such provisions to: (1) use such vaccine only for administration to children; and (2) impose a fee for the administration of the vaccine, but not for the vaccine itself, subject to specified limitations. Directs the Secretary to establish a national system to track the immunization status of children. Establishes in the Treasury a Comprehensive Child Immunization Account. Makes funds from such account available for vaccine purchases by the Secretary. Authorizes appropriations. Amends title XIX (Medicaid) of the Social Security Act to: (1) provide coverage of immunizations under early and periodic screening, diagnosis, and testing provisions of State Medicaid programs; and (2) require that payments to providers include reimbursement for administration of such vaccines. Sets forth provisions regarding: (1) termination of the vaccine purchase program; (2) use of the Vaccine Injury Compensation Trust Fund; (3) the permanent extension of authority to impose taxes for the Trust Fund; (4) the addition of vaccines to the vaccine injury table; (5) the extension of time for decision in proceedings on petitions for vaccine-related injuries or deaths; and (6) vaccine information materials (requiring a concise description of vaccine risks and benefits and a statement of program availability).
United States · United States Congress · 1 April 1993
Amends title XVIII (Medicare) of the Social Security Act to cover, on an assigned basis, the services of registered nurses as assistants at surgery under Medicare part B (Supplementary Medical Insurance). Directs the Secretary of Health and Human Services to recommend to the Congress adjustments in part B payments so that they approximate the costs of the services of physician assistants and registered nurses as assistants at surgery.
United States · United States Congress · 1 April 1993
Hospital Closings Community Relief Act of 1993 - Amends title XIX (Medicaid) of the Social Security Act to require each State to implement a plan for responding to the diminishment in the availability of health services in an area subject to a hospital closure. Expresses the sense of the Congress that not less than 60 days before the termination of any service or the closure of any facility, a hospital providing services to any urban, suburban, or rural area should notify the community it serves, its employees, and all appropriate government and health care entities of the action taken.
United States · United States Congress · 1 April 1993
Medicaid Infant Mortality Amendments of 1993 - 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. 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.
United States · United States Congress · 1 April 1993
Amends title XVIII (Medicare) of the Social Security Act to eliminate the annual cap on the amount of payment for outpatient physical therapy and occupational therapy services under Medicare part B (Supplementary Medical Insurance). Revises the limitation on beneficiary liability for payment of any amounts billed in excess of the applicable limiting charge for physician services. Applies such limitation to nonparticipating suppliers and other persons, as well as nonparticipating physicians. Includes in the Secretary of Health and Human Services' annual explanation of Medicare benefits information on refunds of such amounts. Makes carriers responsible for determining, prior to making payment, whether the amount billed for services is in excess of the applicable limiting charge and, if so, notifying the physician or other providers as appropriate. Requires the reports to the Congress on changes in excess charges for physician services to reflect additional information on the services involved.
United States · United States Congress · 1 April 1993
Advance Directive Expansion Act of 1993 - Amends title XVIII (Medicare) of the Social Security Act to require that individuals entitled to Medicare benefits be provided with notice of their rights to accept or refuse medical care and the right to formulate advance directives. Requires a similar notice with respect to advance directives for individuals enrolled in a State Medicaid plan.
United States · United States Congress · 31 March 1993
TABLE OF CONTENTS: Title I: National Health Care Program Title II: Benefits and Provision of Services Subtitle A: Scope of Services Subtitle B: Provision of Services Title III: Revenue Subtitle A: Budget Process Subtitle B: Payments to Health Care Providers Subtitle C: Sources of Revenue Title IV: Administration Subtitle A: Federal Administration Subtitle B: State and Local Administration Title V: Transition and Relationship to Other Programs Title VI: Miscellaneous Provisions National Health Care Act of 1993 - Title I: National Health Care Program - Establishes a national health care program involving payments to States for State programs that provide covered services to individuals. Provides for approval or disapproval of State programs by the Administrator of the National Health Care Administration (established under title IV of this Act). Makes eligible for enrollment an individual who: (1) maintains a primary residence in the State; and (2) is a U.S. citizen or national, a lawful resident alien, or an eligible alien nonimmigrant. Requires each State program to provide an enrollment mechanism, including: (1) a process for automatic enrollment at birth or immigration; and (2) issuance of a card for identification and claims processing. Provides for portability of coverage and reimbursement. Title II: Benefits and Provision of Services - Subtitle A: Scope of Services - Declares that covered services are all medically necessary services, except as provided, that contribute to the physical, mental, or psychosocial health of an individual or family. Lists included and excluded services. Prohibits States from limiting covered services on the basis of preexisting conditions. Sets forth eligibility criteria for: (1) long-term care services; (2) hospice care services; and (3) services provided in schools, work places, and assisted living programs. Allows State programs to provide, at non-Federal expense, additional services not specifically excluded. Prohibits duplicative private insurance. Allows private insurance for uncovered services. Subtitle B: Provision of Services - Requires States to: (1) include procedures for certification and licensing of participating health care providers; (2) regulate providers and ensure compliance with quality assurance standards, consumer protection standards, and other Federal and State law; and (3) debar providers from payment for repeated violations or convictions for an offense involving medical malpractice. Allows State programs to implement innovative delivery systems. Requires State approval or disapproval of health plans as Integrated Health Service Plans (IHSPs). Defines an IHSP as a nonprofit, consumer-controlled health plan that provides all covered services and operates as a single organization in the health care facilities of the organization. Mandates establishment of State long-term care coordination agencies (LTCCAs) to ensure a continuum of care. Makes LTCCAs responsible for screening all potential long-term care recipients and authorizing services. Sets forth requirements for the services provided. Applies specified provisions of title XVIII (Medicare) of the Social Security Act to this Act. Prohibits discrimination in the provision of services on the basis of race, color, religion, sex, national origin, age, health condition, sexual preference, income, language, or geographic residence in an urban or rural area within the State. Title III: Revenue - Subtitle A: Budget Process - Requires the Administrator to annually establish a national health budget and, for each State, a State health budget. Specifies factors on which State budgets must be based, including population and price differences. Prohibits expenditures in the national budget from exceeding expenditures for the preceding year, adjusted by the percentage increase in the gross national product. Requires inclusion of amounts in national and State budgets for capital expenditures and direct medical education expenses. Subtitle B: Payments to Health Care Providers - Requires State programs: (1) to provide for a timely and administratively simple mechanism for provider payment; (2) in order to avoid fragmented care and promote a continuum of services, to develop financial incentives in payment methods; (3) to limit acquisition of highly specialized or expensive medical equipment; and (4) to establish schedules and incentives to encourage the provision of services in rural and health professional shortage areas. Requires providers who receive program payments to accept the amount recognized under the State program as payment in full. Requires: (1) payment for institutional care through annual prospective budgeting; and (2) each hospital to receive prospectively a global budget developed through negotiations. Allows hospitals to raise private funds. Requires subsidies in health professional shortage areas. Allows: (1) States to determine whether to pay other health care facilities by prospective global budget or per capita fee; and (2) per diem reimbursement for certain services. Requires subsidies for rural essential facilities. Requires that payment to individual providers be on a fee-for-service basis based on State-established (after negotiations) payment schedules and on a national relative value scale. Allows alternative payment mechanisms not exceeding the standard method. Allows group practices to elect to be paid prospectively on a per capita basis. Requires payment to IHSPs (except for inpatient and hospital services) to be paid prospectively on a per capita basis or by a negotiated global budget, as determined by the State agency. Provides for the establishment, by the Administrator, of a list of approved prescription drugs and biologicals, as well as a list of approved durable medical equipment and devices, that are necessary for the maintenance or restoration of health. Requires the head of each State agency to establish a State Payment Grievance Board, allowing use by providers denied payment and to consumers for whom a provider has determined that a requested service is not medically necessary. Subtitle C: Sources of Revenue - Amends the Internal Revenue Code to increase individual, estate and trust, corporate, and minimum tax rates. Increases tax rates on, and imposes taxes on floor stocks of, cigarettes, distilled spirits, certain wines, and beer. Imposes additional: (1) payroll taxes on employees and employers; and (2) taxes on self-employment income. Makes similar changes to railroad retirement tax provisions. Provides for the treatment of: (1) the applicable contribution base; and (2) certain State and local employees. Terminates certain hospital insurance taxes currently applicable to employees, employers, and self-employed individuals. Imposes a tax equal to the amount an employer would have paid for individual or family coverage of retired employees under group health plans in existence on a specified date. Terminates the tax after 2012. Excludes from gross income amounts received for injuries or sickness through the national program (currently, through accident or health insurance). Terminates the exclusion from gross income of amounts received through such insurance. Repeals provisions excluding from gross income employer-provided accident or health plan coverage. Removes provisions specifying the circumstances in which a cafeteria plan shall not be treated as discriminatory. Replaces provisions regarding health insurance costs of self-employed individuals with provisions allowing a deduction for employer expenses for on-site employee first aid. Repeals provisions: (1) allowing deductions for medical expenses; and (2) relating to the provision by pension or annuity plans of medical benefits for retired employees and their spouses and dependents. Terminates the deduction for health insurance which includes at least one child. Increases the portion of social security benefits and tier 1 railroad retirement benefits which must be included in gross income. Reduces related income thresholds. Mandates a national health care program premium for persons over 64 years old, determined according to certain provisions of title XVIII (Medicare) of the Social Security Act plus a specified amount. Reduces the premium for low-income persons. Makes each State responsible for establishing a financing program for the State program. Declares that, notwithstanding any other provision of this Act, no individual is eligible for services under this Act unless the State of residence makes available amounts, determined under a specified formula, in addition to State health block grant funds. Requires each State to make available all State health block grant funds, including funds made available under title V (Maternal and Child Health Services Block Grants) of the Social Security Act. Requires each State program to impose cost-sharing for specified services, except for low-income consumers. Establishes the National Health Care Trust Fund (Fund) and transfers to it: (1) the additional revenues resulting from this Act; and (2) unobligated amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes additional appropriations. Authorizes and appropriates payments to each State. Declares that amounts in the Fund shall be available for grant programs relating to health care services. Prohibits inclusion of the receipts and disbursements of the Fund and the additional taxes resulting from this Act in the Federal budget and exempts such amounts from any general budget limit. Title IV: Administration - Subtitle A: Federal Administration - Establishes a National Health Care Administration as an independent establishment, mandating an Administrator appointed by the President with the advice and consent of the Senate. Mandates establishment, directly or through grants or contracts, of ombudsman programs, complaint hotlines, and consumer and provider information and education programs. Establishes a national health care data base, requiring it to include information on the quality, effectiveness, utilization, and cost of covered services. Establishes the National Health Board to advise the Administrator. Requires appointment of the Board by the President, with the advice and consent of the Senate. Establishes the National Council on Quality Assurance and Consumer Protection to conduct studies and oversight and prepare recommendations. Authorizes appropriations. Establishes the Medical Malpractice Commission to conduct a study and prepare recommendations. Authorizes appropriations. Amends title XI (General Provisions and Peer Review) of the Social Security Act to require that utilization and quality control peer review organizations be composed of: (1) health care providers (currently, doctors of medicine and osteopathy) engaged in providing covered services under this Act (currently, engaged in the practice of medicine or surgery); and (2) health care providers representative of the groups of health care providers providing services under the Act, with no group providing a majority. Requires such organizations to make recommendations regarding quality assurance standards under this Act. Establishes Peer Review Organization Consumer Boards (Consumer Boards) within geographic regions specified by the Administrator to: (1) conduct annual evaluations of such peer review organizations, including making recommendations for awards of contracts; and (2) carry out consumer education programs. Authorizes appropriations. Replaces certain references to titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act, or to the Social Security Act as a whole, with references to this Act. Establishes the Public Health Functions and Activities Commission to study and report to the Administrator regarding: (1) public health functions and activities that should remain separate from the national health care program; and (2) integration of public health programs into the national health care program. Authorizes appropriations. Requires provision on a regional basis, directly or through contracts, of technical assistance centers. Subtitle B: State and Local Administration - Requires a State to designate a State agency (agency) to be the sole State agency to carry out the State program under this Act. Requires each: (1) agency to establish a State planning board; and (2) State to establish local planning boards. Title V: Transition and Relationship to Other Programs - Repeals titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. Repeals certain provisions of Federal law concerning: (1) the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); (2) medical care and medical facilities relating to veterans; and (3) Federal employees' health benefits. Requires provision of covered services to eligible individuals not enrolled in the program through the Indian Health Service in lieu of health services provided by the Service on the date of enactment of this Act. Mandates grants to States planning and developing State programs. Authorizes appropriations. Requires a study of strategies for accomplishing transitions under this Act. Gives the study's recommendations the force of law unless the Congress disapproves within a specified time. Provides for the rules governing congressional consideration of a disapproval resolution, specifying that these provisions are enacted as an exercise in the rule making power of the House of Representatives and the Senate and retaining the right of either House to change the rules as any other rule of that House. Supersedes provisions of the Employee Retirement Income Security Act to the extent they are inconsistent with this Act. Title VI: Miscellaneous Provisions - Declares that it is the sense of the Congress that consumers in the national health care program shall have specified rights set forth in a bill of rights. Requires the Administrator to make grants for research projects. Mandates grants to establish: (1) innovative statewide or local prevention and health promotion programs; and (2) health awareness programs in schools, work places, and health and social agencies. Amends the Job Training Partnership Act to include within the definition of "eligible dislocated workers" individuals who have been terminated from their jobs as a result of reductions in health insurance industry jobs due to the establishment of the national health care program under the National Health Care Act of 1993.