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Bill· HRH.R. 6251 (93rd)referred
United States · United States Congress · 28 March 1973
Allows a tax deduction under the Internal Revenue Code for all medical expenses (including medicine and drugs) paid during the taxable year, and not compenstated for by insurance or otherwise, for the care of any dependent who is the mother or father of the taxpayer or of his spouse, and has attained the age of 65 before the close of the taxable year. Allows a tax deduction for all medical expenses (including medicine and drugs) of the taxpayer and his spouse, if either has attained the age of 65 before the close of the taxable year. States that the amendments made by this Act shall apply with respect to taxable years ending after the date of enactment of this Act.
Bill· HRH.R. 6222 (93rd)referred
United States · United States Congress · 28 March 1973
Establishes, within the Department of Health, Education, and Welfare, a National Population Sciences and Family Planning Services Administration. Establishes, within the Administration, a National Center for Family Planning Services, to carry out a public information services program for planning and development, manpower development and training, supervision of field services, and grants management. Establishes, within the Administration, a National Institute for Population Sciences to carry out reproductive physiology research, contraceptive development and evaluation, operational research, social science research, and grants mangement. Provides that the Secretary of Health, Education and Welfare shall utilize the Administration to administer programs and research related to population and family planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Directs the Secretary, on January 1 after the Act, to make a report to the Congress setting forth a plan to be carried out over a period of 5 years for extention of family services, for research programs in reproductive physiology, contraceptive development and evaluation, the social sciences and operational research, for training of necessary manpower for services and research, and for carrying out the other purposes set forth in this Act. Authorizes the Secretary to make, through the Administration, grants to public agencies and nonprofit organizations and institutions to assist in the establishment and operation of voluntary family planning projects. Directs the Secretary to make grants to State health agencies to assist the States in planning, establishing, maintaining, coordinating, and evaluating family planning services. Provides that no funds appropriated under this system shall be used in a program where abortion is a method of family planning. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 to enable the Secretary to carry out the provisions of the two foregoing programs. Authorizes appropriations for manpower development and program planning and evaluation for fiscal year 1974 through fiscal year 1978 in order to implement the aforementioned family planning programs. States that, in order to promote research in the biomedical, contraceptive development, social science and operational research fields related to population and family planning the Secretary is authorized to make grants to public agencies and nonprofit organizations and institutions, and to enter into contracts with groups, associations, institutions, individuals, or corporations for the conduct of such research. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for the purpose of making grants and contracts under this section. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for project grants to assist in meeting the cost of construction and operation of centers for research relating to human reproduction, sterility, contraception, effectiveness of service delivery, population trends, and other aspects of, or factors which affect, population dynamics. States that applications for grants under this section shall be approved by the Secretary only if the applicant is an institution of higher education or other public or private nonprofit institution which the Secretary determines is competent to engage in the type of research necessary. Provides that the total of the grants with respect to such project shall not exceed 75 percent of the cost of the project. States that if within twenty years after completion of any construction for which funds have been paid under this section: (1) the applicant or other owner of the facility shall cease to be a public or private nonprofit institution; or (2) the facility shall cease to be used for the purposes for which it was constructed, unless the Secretary determines, in accordance with the promulgated regulations, that there is good cause for releasing the applicant or other owner from the obligation to do so, the United States shall be entitled to recover from the applicant or other owners of the facility amount bearing the same ratio to the value of the participation bore to the cost of the construction of the facility. Authorizes the Secretary to make project grants and to enter into contracts with public agencies and nonprofit organizations and institutions to assist in developing and making available family planning and population growth information to all persons desiring such information or materials. Authorizes the appropriation of specified sums for the fiscal years 1974 through 1978 for the purpose of making grants or entering into contracts under this section.
Bill· SS. 1402 (93rd)referred
United States · United States Congress · 27 March 1973
National Blood Bank Act - Establishes a National Blood Bank Program in the Department of Health, Education, and Welfare. Prescribes standards by which the Director of such program shall designate a group or organization as a national blood bank system, including the requirement that all member blood banks maintain a program for the recruitment of voluntary blood donors, and a system of accreditation for member blood banks. Provides that the Director shall, in order to assure an adequate supply of pure and safe blood throughout the Nation: (1) develop new procedures, materials, and techniques to inform the public of the need to voluntarily donate blood; (2) provide direct assistance to establish an adequate supply of voluntary blood in those parts of the country where it is presently unavailable; (3) develop a national program to honor and recognize all voluntary donors; and (4) establish yearly goals of voluntary donors for each blood bank. Provides that the Director shall maintain a registry of all persons who give blood after July 1, 1972, to a licensed blood bank. Provides that blood banks affected by this Act must be licensed by the Director subject to a fee of not more than $125 per annum and subject to periodic inspection by the Director. Requires the Director to issue such license when such blood bank agrees to require identification of each blood donor, agrees to transmit to the Director such information as the Director may require and when the application therefor contains or is accompanied by such information as the Director finds necessary and the applicant agrees and the Director determines that the blood bank will be operated in accordance with standards the Director issues to carry out the purposes of this Act. Authorizes the Director to sue in the United States district court to enjoin any activity by a blood bank licensed under this Act which would constitute an imminent hazard to the public health. Provides for appeal from, and review of, such proceedings. Provides that a willful violation of the provisions of this Act shall be a misdemeanor punishable by imprisonment for not more than one year or a fine of not more than $1,000, or both. Establishes an Advisory Council to the Director appointed by the President to make recommendations to the Director on means of attaining the goals of the Program. Provides that, notwithstanding any antitrust law, a national blood bank system may exclude or reject from membership in such system any blood bank which does not qualify for tax-exempt status under the Internal Revenue Code. Requires the United States to contract for, or pay for, the provision of blood from a Class A Blood Bank, defined under this Act as part of a national blood bank system. Authorizes to be appropropriated $10,000,000 for each of the fiscal years 1973, 1974, 1975 to carry out the purposes of this Act.
Bill· SS. 1375 (93rd)referred
United States · United States Congress · 27 March 1973
Mental Health Act - Title I: Mental Health Benefits - Provides that every individual who is a resident of the United States, or who is a nonresident citizen of the United States, shall be eligible to receive the benefits provided by this title. Lists the mental health services covered by this Act and provides that benefits under this Act shall consist of entitlement to have payment made on his behalf, without limit as to duration except as otherwise specifically indicated. Sets forth qualifications of psychiatric hospitals for participation in the program under this title, including that it provide active diagnostic, therapeutic, and rehabilitative services with respect to mental illness, and that it is accredited by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary of Health, Education, and Welfare to periodically determine the amount which should be paid under this title to each provider of care and services with respect to the care and services furnished by it. Provides that no payments may be made under title XVIII (Medicare) of the Social Security Act, under any State plan approved under title XIX (Medicaid) of such Act, or under any other Federal law or program, with respect to any care or services for which payment is made under this title. Provides that the program under this title shall be administered by the Secretary with the advice and assistance of a Committee on Mental Health which shall be appointed by the Secretary. Provides that the Committee shall be specifically responsible under the direction of the Secretary for the approval of all providers of care and services for participation in the program under this title and for the establishment of the guidelines and qualifications to be applied to any of such providers not affiliated with any specific psychiatric hospital. Directs the Secretary to conduct a full and complete study of the costs of providing mental health insurance under various conditions and with varying specifications, in order to determine the feasibility of establishing a national program providing such insurance, or expanding the program under this title. Requires the Secretary to submit to the President and the Congress a report on the results of such study together with his recommendations. Provides that the Secretary shall submit annually to the President and to the Congress a full report on the program under this title, including his recommendations for any improvements or modifications therein. Authorizes to be appropriated such sums as may be necessary to carry out this Act.
Bill· HRH.R. 6193 (93rd)referred
United States · United States Congress · 27 March 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 6147 (93rd)referred
United States · United States Congress · 27 March 1973
National Health Research Fellowship and Traineeship Act - States that the purpose of this Act is to increase the capability of the National Institutes of Health and the National Institute of Mental Health to carry out their statutory responsibility of maintaining a superior national program of biomedical research into the basic biological process and mechanisms involved in the physical and mental diseases and impairments of man. Establishes a national program of health research fellowships and traineeships to assure the continued excellence of biomedical research in the United States. Provides that no individual may receive assistance for more than three years under this Act, and that individuals receiving assistance shall engage in research or teaching for a twenty-four-month period for each full academic year with respect to which he received such assistance. Authorizes to be appropriated an aggregate of $204,000,000 for the fiscal year ending June 30, 1974, $214,500,000 for the fiscal ending June 30, 1975, and $225,000,000 for the fiscal year ending June 30, 1976 to carry out the purposes of this Act.
Bill· HRH.R. 6139 (93rd)referred
United States · United States Congress · 27 March 1973
Establishes within the Department of Health, Education, and Welfare an Office of Population Affairs to be directed by an Assistant Secretary for Population Affairs. Sets forth the duties of the Assistant Secretary. Establishes within the Department an Administration on Reproductive Research and Family Planning. Creates within the Administration a National Center for Family Planning Services, headed by a Director, which shall establish identifiable units to carry out, at a minimum, the following functions: Public information, program planning and evaluation, manpower development and training, supervision of field services, and grants management. Establishes within the Administration, a National Institute for Research on Human Reproduction and Population Change which shall establish identifiable units to carry out, at a minimum, the following functions: Reproductive physiology research, contraceptive development and evaluation, operational research, social science research, public information, manpower development and training, and grants management. Establishes a National Family Planning Services Advisory Council to advise, consult with, and make recommendations to the Director, at meetings held no less than two times each year, on matters relating to the activities of the National Center for Family Planning Services. Establishes a National Population Sciences Advisory Council to advise, consult with, and make recommendations to the Director, at meetings held no less than two times each year, on matters relating to the activities of the National Institute for Research on Human Reporduction and Population Change. Sets forth the functions of the Administration on Reproductive Research and Family Planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Requires the Secretary of Health, Education, and Welfare to submit a report to Congress on each January 1 for the five years following the enactment of this Act. Authorizes appropriations for fiscal years 1974-1976 for the following: (1) special project grants for family planning services; (2) formula grants for family planning, public health services; (3) manpower development and program planning and evaluation; (4) research grants and contracts; (5) grants for support of population sciences, research centers; and (6) planning and population growth information distribution and educational materials development.
Bill· HRH.R. 6192 (93rd)referred
United States · United States Congress · 27 March 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 6160 (93rd)referred
United States · United States Congress · 27 March 1973
Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act Amendments - Title I: Coordination, and Personnel - Provides that the Secretary of Health, Education, and Welfare, acting through the National Institute on Alcohol Abuse and Alcoholism, shall coordinate efforts, in carrying out the purposes of all other Federal health, welfare, rehabilitation, highway safety, law enforcement and economic opportunity legislation, to deal with alcohol abuse and alcoholism. Provides that the Director of the institute may employ and prescribe the functions of such officers and employees, including attorneys, as are necessary to administer the programs and authorities under the Act. Title II: Federal Assistance for State and Local Programs - Authorizes further appropriations for grants to States under the Act of $100,000,000 for fiscal year 1974, $100,000,000 for fiscal year 1975, and $100,000,000 for fiscal year 1976. Provides that State plans for assistance under the Act must set forth standards for construction and licensing of public and private treatment facilities, as well as standards for other community services or resources available to assist individuals to meet problems resulting from alcohol abuse. Provides that the Secretary acting through the institute is authorized to make grants to the States for the implementation of the uniform alcoholism and intoxication treatment Act. Transfers all authorities pertaining to alcohol abuse and alcoholism under the community mental health Centers Act to the authority authorized under the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act. Provides that grants under the Community Mental Centers Act for the construction of facilities for the prevention and treatment of alcoholism shall be approved in accordance with plans setting forth: (1) a description of the site of the project; (2) plans and specifications therefor in accordance with the regulations prescribed by the Secretary for general standards of construction and equipment for facilities of different classes and different types of locations; and (3) reasonable assurance that all laborers and mechanics employed by contractors or subcontractors of the project will be paid wages at rates not less than those prevailing on similar construction in the locality as determined by the Secretary of Labor in accordance with the Davis-Bacon Act. Removes the requirement under the Act that grants for specialized facilities may be made only to facilities which are a part of or affiliated with a community mental health center providing at least those essential elements of comprehensive community mental health services which are prescribed by the Secretary. Authorizes to be appropriated to carry out part B of the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act, $100,000,000 for fiscal year 1974, $120,000,000 for fiscal year 1975, and $120,000,000 for fiscal year 1976. Authorizes to be appropriated for fiscal year 1974, and each of the next nine fiscal years such sums as may be necessary to continue to make grants for staffing with respect to sections under such part for which a staffing grant was made from appropriations under the above for any fiscal year ending before July 1, 1976. Removes the compulsory suspension of Federal financial assistance, under the Act, to private and public hospitals for refusing to admit or treat alcoholics.
Bill· HRH.R. 6152 (93rd)referred
United States · United States Congress · 27 March 1973
Mental Health Act - Provides that every individual who is a resident of the United States, or who is a non-resident citizen of the United States, shall be eligible to receive the benefits provided by this title. Lists the mental health services covered by this Act and provides that benefits under this Act shall consist of entitlement to have payment made on his behalf, without limit as to duration except as otherwise specifically indicated. Sets forth qualifications of psychiatric hospitals for participation in the program under this title, including that provide active diagnostic, therapeutic, and rehabilitative services with respect to mental illness, and that it is accredited by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary of Health, Education, and Welfare to periodically determine the amount which should be paid under this title to each provider of care and services with respect to the care and services furnished by it. Provides that no payments may be made under title XVIII (Medicare) of the Social Security Act, under any State plan approved under title XIX (Medicaid) of such Act, or under any other Federal law or program, with respect to any care or services for which payment is made under this title. Provides that the program under this title shall be administered by the Secretary with the advice and assistance of a Committee on Mental Health which shall be appointed by the Secretary. Provides that the Committee shall be specifically responsible under the direction of the Secretary for the approval of all providers of care and services for participation in the program under this Act and for the establishment of the guidelines and qualifications to be applied to any of such providers not affiliated with any specific psychiatric hospitals. Authorizes to be appropriated such sums as may be necessary to carry out the provisions of this Act. Requires the Secretary of Health, Education, and Welfare to submit an annual report to the Congress and the President on the program under this Act, including his recommendations for any improvements or modifications.
Bill· HRH.R. 6096 (93rd)referred
United States · United States Congress · 26 March 1973
Veterans Health Care Expansion Act - Title I: Hospital, Domicilliary, and Medical Care Benefits - Extends the definition of "private facilities" for which the Administrator of Veterans' Affairs contracts in order to provide hospital care to include facilities for the wife or child of a veteran who has a total disability, permanent in nature, resulting from a service connected disability, and the widow or child of a veteran who died from such a disability. Includes in the term "hospital care" mental health services, consultation, professional counseling, and training of a veteran or dependent, or survivor if the veteran has no dependents, as may be necessary or appropriate to the effective treatment and rehabilitation of such individual. Adds home health services which the Administrator deems appropriate for the effective and economical treatment of a disability of a veteran, or dependent, or survivor, to the definition of the term "medical services". Extends to all veterans hospital or nursing home care if such veteran is unable to defray the expenses of the necessary care. Allows the Administrator to furnish hospital or nursing home care to the wife or child of a veteran who has a total disability, permanent in nature from a service connected disability, and the widow or child of a veteran who died from such a disability. Permits the Administrator to furnish medical services for any disability on an outpatient or ambulatory basis to persons already described in this Act and to any veteran who has a service connected disability rated at eighty percent or more. Authorizes the Administrator, under such regulations as he might prescribe, to reimburse veterans entitled to hospital care as medical services for the reasonable value of such care or services for which such veterans have made payment from sources other than the Veterans' Administration. (Adds 38 U.S.C. 628) Authorizes the President to assist the Republic of the Philippines in providing medical care and treatment for commonwealth army veterans and New Philippine Scouts under certain conditions. (Amends 38 U.S.C. 631) Provides that the President may authorize the Administrator to enter into a contract with the Veterans Memorial Hospital, with the approval of the appropriate department of the government of the Republic of the Philippines under which the United States: (1) will pay for hospital care in the Republic of the Philippines, or for medical services which shall be provided either in Veterans' Administration facilities, or by contract, or otherwise, by the Administrator in accordance with the conditions and limitations applicable generally to beneficiaries under this title, for commonwealth army veterans determined by the Administrator to be in need of such hospital care or medical services for service-connected disabilities; (2) will pay for hospital care at the Veterans Memorial Hospital for commonwealth army veterans determined by the Administrator to need such care for non-service-connected disabilities if they are unable to defray the expenses of necessary hospital care; and (3) will pay for hospital care, determined by the Administrator to be necessary, at the Veterans Memorial Hospital for New Philippine Scouts for service-connected disabilities and for non-service-connected disabilities, if they enlisted before July 4, 1946, and if they are unable to defray the expenses of necessary hospital care. Provides that the total of the payments authorized shall not exceed $2,000,000 for any one fiscal year ending before 1978. Authorizes to be appropriated for each fiscal year ending with fiscal year 1978, $100,000 to be used for the education and training of health service personnel at the hospital, and for the upgrading of equipment and in rehabilitating the physical plant and facilities of such hospital (Amends 38 U.S.C. 632) Authorizes the Administrator to carry out a comprehensive program providing Sickle Cell Anemia screening, counseling, and treatment and to carry out research and research training in the diagnosis, treatment, and control of Sickle Cell Anemia based upon such screening examinations and treatment. Requires the Administrator to include such information in his annual report to Congress. (Adds 38 U.S.C. 651-654) Title II: Amendments to chapter 73 of title 38, United States Code Relating to the Department of Medicine and Surgery - Authorizes the Administrator to carry out a major program of recruitment training, and employment of veterans with various medical military occupation specialties in order to provide a complete medical and hospital service for the medical care and treatment of veterans and to assist in providing an adequate supply of health manpower to the nation. (Amends 38 U.S.C 4101 (B)) Establishes pay schedules for assistant chief medical directors, physicans and dentists, nurses. Provides criteria on which nurses are to receive additional compensation. Enumerates restriction on physicians, dentists, and nurses, including requirements that no such person may: (1) assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Veterans' Administration facility, except in those cases where the individual, upon request and with the approval of the chief medical director, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed one hundred and eighty calendar days, which may be extended by the chief medical director for additional periods not to exceed one hundred and eighty calendar days each; (2) teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with his responsibilities under this title; and (3) perform, in the course of carrying out his responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for his personal benefit, or both. Provides that temporary full-time appointments of personnel, other than physicians, dentists, and nurses, shall not exceed one year. (Amends 38 U.S.C. 4114(A) (3) (A)) Provides that the Administrator may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and participating with the Veterans' Administration in the training of interns or residents to provide for the central administration of stipend payments, provision of fringe benefits, and maintenance of records for such interns and residents by the designation of one such institution to serve as a central administrative agency for this purpose. Permits the Administrator to pay to such designated agency, without regard to any other law or regulation governing the expenditure of government moneys either in advance or in arrears, all amount to cover the costs for the period such intern or resident serves in a Veterans' Administration Hospital. (Adds 38 U.S.C.4114 (B) (2)) Title III: Amendments to chapter 81 of Title 38, United States Code - Acquisition and Operation of Hospital and Domicilliary Facilites; Procurement and Supply - Requires the Administrator to provide for no less than an average of 98,500 operating beds in Veterans' Administration hospitals and to maintain an average daily patient census in such beds of no less than 85,500 in any fiscal year. Authorizes the Administrator to establish and operate not less than eight thousand beds for the furnishing of nursing home care to eligible veterans over which the Administrator has direct and exclusive jurisdiction. (Amends 38 U.S.C. 5001 (A)) Requires the Administrator to appoint an advisory committee on structural safety of Veterans' Administration facilities to advise him on all matters of structural safety in the construction and remodeling of Veterans' Administration facilites. (Amends 38 U.S.C. 5001 (B)) Title IV: Miscellaneous Amendments to Title 38 United States Code - Specifies certain miscellaneous amendments to title 38 of the United States Code. Title V: Effective Dates - Specifies the dates on which the provisions of this Act shall become effective.
Bill· SS. 1342 (93rd)referred
United States · United States Congress · 22 March 1973
Permits Indians to join public and private groups with which the Federal Government may contract for the carrying out of Federal responsibilities in education, agricultural assistance, and social welfare. Authorizes the Secretary of Health, Education, and Welfare to contract with any Indian tribe, band, group, or community to carry out his health responsibility to the Indians. Gives the Secretary of Health, Education, and Welfare the authority to detail Public Health Service personnel for the purpose of assisting an Indian tribe, band, group, or community in carrying out Indian Health functions.
Bill· SS. 1326 (93rd)referred
United States · United States Congress · 22 March 1973
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1973, and ending June 30, 1976, such sums as may be necessary to carry out the purposes of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hemophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides that the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of activities conducted under this Act.
Bill· SS. 1337 (93rd)referred
United States · United States Congress · 22 March 1973
Medical Device Safety Act - Title I: Authority to Establish Standards - Authorizes the Secretary of Health, Education, and Welfare to establish standards, under the Federal Food, Drug, and Cosmetic Act, for medical devices when such action will protect public health and safety. Authorizes the Secretary to establish mandatory standards relating to the composition, properties, or performance of a medical device or class of medical devices. Provides that the Secretary may utilize conferences, workshops, and other means by which nongovernmental experts could participate in the development of standards. Allows any person adversely affected by such standards to refer the matter to an independent advisory committee for its recommendations. Title II: Premarket Clearance of Certain Medical Devices - Sets forth conditions for when a premarketing clearance is required. States that a device is to be deemed unsafe, unreliable, or ineffective when: (1) the device is not generally recognized by experts, qualified by scientific training or experience, to be safe, reliable, or effective for use under the conditions prescribed, suggested or recommended; and (2) the device is intended for or is used within the human body, intended to be used for subjecting the human body to some process, or after investigation is found to be ineffective, unsafe, or unreliable. Exempts those devices: (a) for which a new-device application has been filed, or (b) which are for use only in animals other than man, or (c) which are otherwise exempted by the terms of this Act. Prescribes the contents and procedures for new device applications to comply with the clearance procedure. Provides that these applications must contain: (1) information and data to show the safety, reliability, and effectiveness of the device; (2) composition, properties, and principles of operation; (3) methods and controls used in manufacture; (4) identification of the applicable standard and information to show that the device meets the standard; (5) samples of the device; (6) specimens of labeling; and (7) other requirements the Secretary may require. Requires the Secretary to act on an application within 180 days after filing by approving, denying and affording an opportunity for hearing, or suspending the time limit pending the report of an advisory committee. Provides that an application shall be disapproved when: (1) the device is not safe or reliable under conditions prescribed; (2) manufacturing or processing controls do not meet good manufacturing practices; (3) lack of substantial evidence that the device has the effect it purports; and (4) has false or misleading labeling. Authorizes the Secretary to withdraw approval of an application where: (1) other data, or later evidence, indicates that the device is unsafe or unreliable; (2) new information shows the device to be ineffective; (3) the application contains untrue statements of material fact; (4) there is a failure to maintain records as required elsewhere in this Act; (5) good manufacturing practices are not employed as required elsewhere in this Act; or (6) on the basis of new information, the labeling is false or misleading. Authorizes the Secretary, where an imminent health or safety hazard is involved, to suspend approval immediately and to provide for an expedited hearing into the matter. Authorizes the use of a referral committee for an opportunity for a hearing on an application or on the Secretary's action to obtain the committee's report and recommendations. Provides applicants with the right of appeal and to obtain judicial review. Establishes an exemption for devices used solely for investigational purposes by persons qualified to conduct such investigation, conditioned upon: (1) the existence of an adequate plan of investigation; (2) a written agreement that the use of the device will be under the supervision of the investigator in cases where the device is for human use; (3) that records and data obtained from the investigation are kept and available; and (4) other conditions determined by the Secretary to assure public health and safety. Exempts from the application procedure any device which fully conforms to an applicable standard established under the Public Health Service Act, or meets standards about to be announced or implemented, devices made upon order by a practitioner, where such a device is not generally available in finished form or in existing commercial channels, or where the device is for the use of a named patient, or for the sole use of a practitioner in the course of his professional practice. Provides exemptions for devices for which requirements are found not to be necessary for the protection of the public health and safety, with the unanimous consent of the Advisory Council on Medical Devices; and for devices licensed by the Atomic Energy Commission, where the Secretary finds regulation duplicative. Title III: Requirement of Good Manufacturing Practice - Provides that a device is "adulterated" if the method and controls used to manufacture the device do not conform with good manufacturing practice to assure that such a device is safe and reliable and that it has the characteristics it purports to have. Title IV : Records and Reports; Registration of Establishments - Requires that manufacturers, processors, and distributors of devices subject to standards keep records and make reports to the Secretary relating clinical experience and other data which bears on the safety, reliability, and effectiveness of such devices. Exempts from these requirements the following: (1) pharmacies operating in conformance with applicable local laws; (2) practitioners, licensed by law, who manufacture devices solely for use in the course of their professional practice; (3) persons who manufacture devices solely for use in research or teaching, and not for sale; (4) devices, no part of which has been in interstate commerce and which is not intended for interstate commerce; and (5) other classes, as determined by the Secretary. Title V: Advisory Council on Devices, Etc. - Provides for the creation of an Advisory Council on Devices within the Department of Health, Education, and Welfare to advise the Secretary on policy matters in carrying out the provisions of this bill. Requires that members be selected with a view toward their special knowledge of the problems involved in regulating various kinds of devices. Title VI: Effective Dates and Transitional Provisions - Makes the provisions of this Act effective on the date of enactment with various exceptions.
Bill· HRH.R. 6073 (93rd)referred
United States · United States Congress · 22 March 1973
Medical Device Safety Act - Title I: Authority to Establish Standards - Authorizes the Secretary of Health, Education, and Welfare to establish safety standards for medical services, and to require unreasonably hazardous devices used in life-threatening situations to undergo a scientific review by the Department for safety and efficacy prior to their introduction into commerce or, if already in commerce, to determine whether they may continue to be marketed. Authorizes the Secretary to promulgate a standard governing the performance or other characteristics of medical service whenever, in his judgment, a standard is necessary to reduce or eliminate unreasonable risk of illness or injury associated with exposure to or use of the device, and there are no other more practicable means to protect the public. Requires the Secretary, prior to the initiation of a proceeding to promulgate a standard, and prior to publishing a proposed standard in the course of such proceeding, to consult with other Federal agencies concerned with settings and other nationally or internationally recognized standard-setting agencies or organizations, and to use the technical support of other Federal agencies. Provides that the Secretary would initiate a proceeding to promulgate a device standard by publishing a notice which would invite interested persons to submit to the Secretary an existing standard or an offer to develop a standard. Authorizes the Secretary to accept one or more of such offers, or to adopt an applicable existing standard, or in appropriate cases to develop a standard using the resources of the Department and other agencies, or by contracting with qualified non-governmental entities. Provides that after publication of a proposed standard, interested persons may for good cause require the Secretary to refer the standard to an ad hoc independent advisory committee for recommendations with respect to any matter involved in the proposal which requires the exercise of scientific judgment. Provides that the standard, when promulgated, would be subject to the judicial review provisions of the Administrative Procedure Act governing informal rule making. Title II: Scientific Review of Certain Medical Devices - Authorizes the Secretary to subject a device, or a type or class of device, to scientific review for safety and efficacy if after consultation with an appropriate scientific panel, he found the device to be unreasonably hazardous when used, as intended, in life-threatening situations, and determined that there was no more practical means than such review to reduce the hazard. Provides that when the principles of design and construction of any device or class of devices subject to scientific review evolve to the point at which the safety and efficacy of the device or such standards would be promulgated under the standard-setting authority set forth in this Act, and the scientific review requirement rescinded. Provides for the exemption from scientific review of devices intended solely for investigational uses by qualified experts. States that devices on the market which are made subject to scientific review could continue to be marketed during the pendency of the review unless presenting a hazard requiring otherwise. Provides that an application for scientific review would be referred by the Secretary to standing advisory scientific review panel for its recommendations. States that an applicant may seek administrative review of the Secretary's denial of his application either through petitioning the Secretary to refer the application to an advisory committee of experts for its independent recommendations on the scientific issues involved, or in the alternative by obtaining a formal adjudicatory hearing. Provides for judicial review of a final order of the Secretary. Title III: Notification of Defective Devices, Repair or Replacement - Provides that a manufacturer or importer would be required to notify the Secretary of any defects in devices produced, assembled, or imported by him if the defect is likely to create a substantial risk to the health or safety of any person, or of the failure of a device to comply with an applicable standard. States that unless exempted by the Secretary the manufacturer or importer would also be required to notify his dealers or distributors, and purchaser not for sale who are known to him, of the defect. Provides that dealers or distributors who are notified of a defect by the manufacturer would be required to provide to the manufacturer or importer the names and addresses of each purchaser not for sale. Authorizes the Secretary to require the manufacturer or importer to remedy the defect, replace the device, or refund the purchase price. Title IV: Requirement of Good Manufacturing Practice - Requires devices to be manufactured in accordance with current good manufacturing practice, as determined by the Secretary, to assure their safety and efficiency. Title V: Reports and Records; Inspections and Registration of Establishments; Official Names - Requires the registration of device manufacturers and their continuing notification to the Secretary of the devices that they are producing and marketing. Authorizes the Secretary to establish official names for devices. Requires manufacturers and distributors of devices subject to a standard or marketed under an approval of a scientific review application to maintain certain records relating to the safety and efficacy of the devices. Gives the Secretary authority to inspect research data on devices, and to inspect research data on devices, and to extend to devices certain exemptions from inspection which are applicable to drugs. Title VI: General Provisions - Establishes an Advisory Council on Devices to advise the Secretary with respect to matters of policy in carrying out the Acts provisions. Authorizes the Secretary, directly or through contracts with public or private agencies, institutions and organizations and with individuals, to plan, conduct, coordinate, and support research and studies relating to devices.
Bill· HRH.R. 6041 (93rd)referred
United States · United States Congress · 22 March 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 6066 (93rd)referred
United States · United States Congress · 22 March 1973
Veterans Health Care Expansion Act - Title I: Hospital, Domicilliary, and Medical Care Benefits - Extends the definition of "private facilities" for which the Administrator of Veterans' Affairs contracts in order to provide hospital care to include facilities for the wife or child of a veteran who has a total disability, permanent in nature, resulting from a service connected disability, and the widow or child of a veteran who died from such a disability. Includes in the term "hospital care" mental health services, consultation, professional counseling, and training of a veteran or dependent, or survivor if the veteran has no dependents, as may be necessary or appropriate to the effective treatment and rehabilitation of such individual. Adds home health services which the Administrator deems appropriate for the effective and economical treatment of a disability of a veteran, or dependent, or survivor, to the definition of the term "medical services". Extends to all veterans hospital or nursing home care if such veteran is unable to defray the expenses of the necessary care. Allows the Administrator to furnish hospital or nursing home care to the wife or child of a veteran who has a total disability, permanent in nature from a service connected disability, and the widow or child of a veteran who died from such a disability. Permits the Administrator to furnish medical services for any disability on an outpatient or ambulatory basis to persons already described in this Act and to any veteran who has a service connected disability rated at eighty percent or more. Authorizes the Administrator, under such regulations as he might prescribe, to reimburse veterans entitled to hospital care as medical services for the reasonable value of such care or services for which such veterans have made payment from sources other than the Veterans' Administration. (Adds 38 U.S.C. 628) Authorizes the President to assist the Republic of the Philippines in providing medical care and treatment for commonwealth army veterans and New Philippine Scouts under certain conditions. (Amends 38 U.S.C. 631) Provides that the President may authorize the Administrator to enter into a contract with the Veterans Memorial Hospital, with the approval of the appropriate department of the government of the Republic of the Philippines under which the United States: (1) will pay for hospital care in the Republic of the Philippines, or for medical services which shall be provided either in Veterans' Administration facilities, or by contract, or otherwise, by the Administrator in accordance with the conditions and limitations applicable generally to beneficiaries under this title, for commonwealth army veterans determined by the Administrator to be in need of such hospital care or medical services for service-connected disabilities; (2) will pay for hospital care at the Veterans Memorial Hospital for commonwealth army veterans determined by the Administrator to need such care for non-service-connected disabilities if they are unable to defray the expenses of necessary hospital care; and (3) will pay for hospital care, determined by the Administrator to be necessary, at the Veterans Memorial Hospital for New Philippine Scouts for service-connected disabilities and for non-service-connected disabilities, if they enlisted before July 4, 1946, and if they are unable to defray the expenses of necessary hospital care. Provides that the total of the payments authorized shall not exceed $2,000,000 for any one fiscal year ending before 1978. Authorizes to be appropriated for each fiscal year ending with fiscal year 1978, $100,000 to be used for the education and training of health service personnel at the hospital, and for the upgrading of equipment and in rehabilitating the physical plant and facilities of such hospital (Amends 38 U.S.C. 632) Authorizes the Administrator to carry out a comprehensive program providing Sickle Cell Anemia screening, counseling, and treatment and to carry out research and research training in the diagnosis, treatment, and control of Sickle Cell Anemia based upon such screening examinations and treatment. Requires the Administrator to include such information in his annual report to Congress. (Adds 38 U.S.C. 651-654) Title II: Amendments to chapter 73 of title 38, United States Code Relating to the Department of Medicine and Surgery - Authorizes the Administrator to carry out a major program of recruitment training, and employment of veterans with various medical military occupation specialties in order to provide a complete medical and hospital service for the medical care and treatment of veterans and to assist in providing an adequate supply of health manpower to the nation. (Amends 38 U.S.C 4101 (B)) Establishes pay schedules for assistant chief medical directors, physicans and dentists, nurses. Provides criteria on which nurses are to receive additional compensation. Enumerates restriction on physicians, dentists, and nurses, including requirements that no such person may: (1) assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Veterans' Administration facility, except in those cases where the individual, upon request and with the approval of the chief medical director, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed one hundred and eighty calendar days, which may be extended by the chief medical director for additional periods not to exceed one hundred and eighty calendar days each; (2) teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with his responsibilities under this title; and (3) perform, in the course of carrying out his responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for his personal benefit, or both. Provides that temporary full-time appointments of personnel, other than physicians, dentists, and nurses, shall not exceed one year. (Amends 38 U.S.C. 4114(A) (3) (A)) Provides that the Administrator may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and participating with the Veterans' Administration in the training of interns or residents to provide for the central administration of stipend payments, provision of fringe benefits, and maintenance of records for such interns and residents by the designation of one such institution to serve as a central administrative agency for this purpose. Permits the Administrator to pay to such designated agency, without regard to any other law or regulation governing the expenditure of government moneys either in advance or in arrears, all amount to cover the costs for the period such intern or resident serves in a Veterans' Administration Hospital. (Adds 38 U.S.C.4114 (B) (2)) Title III: Amendments to chapter 81 of Title 38, United States Code - Acquisition and Operation of Hospital and Domicilliary Facilites; Procurement and Supply - Requires the Administrator to provide for no less than an average of 98,500 operating beds in Veterans' Administration hospitals and to maintain an average daily patient census in such beds of no less than 85,500 in any fiscal year. Authorizes the Administrator to establish and operate not less than eight thousand beds for the furnishing of nursing home care to eligible veterans over which the Administrator has direct and exclusive jurisdiction. (Amends 38 U.S.C. 5001 (A)) Requires the Administrator to appoint an advisory committee on structural safety of Veterans' Administration facilities to advise him on all matters of structural safety in the construction and remodeling of Veterans' Administration facilites. (Amends 38 U.S.C. 5001 (B)) Title IV: Miscellaneous Amendments to Title 38 United States Code - Specifies certain miscellaneous amendments to title 38 of the United States Code. Title V: Effective Dates - Specifies the dates on which the provisions of this Act shall become effective.
Bill· HRH.R. 6021 (93rd)referred
United States · United States Congress · 22 March 1973
Establishes, within the Department of Health, Education, and Welfare, a National Population Sciences and Family Planning Services Administration. Establishes, within the Administration, a National Center for Family Planning Services, to carry out a public information services program for planning and development, manpower development and training, supervision of field services, and grants management. Establishes, within the Administration, a National Institute for Population Sciences to carry out reproductive physiology research, contraceptive development and evaluation, operational research, social science research, and grants mangement. Provides that the Secretary of Health, Education and Welfare shall utilize the Administration to administer programs and research related to population and family planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Directs the Secretary, on January 1 after the Act, to make a report to the Congress setting forth a plan to be carried out over a period of 5 years for extention of family services, for research programs in reproductive physiology, contraceptive development and evaluation, the social sciences and operational research, for training of necessary manpower for services and research, and for carrying out the other purposes set forth in this Act. Authorizes the Secretary to make, through the Administration, grants to public agencies and nonprofit organizations and institutions to assist in the establishment and operation of voluntary family planning projects. Directs the Secretary to make grants to State health agencies to assist the States in planning, establishing, maintaining, coordinating, and evaluating family planning services. Provides that no funds appropriated under this system shall be used in a program where abortion is a method of family planning. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 to enable the Secretary to carry out the provisions of the two foregoing programs. Authorizes appropriations for manpower development and program planning and evaluation for fiscal year 1974 through fiscal year 1978 in order to implement the aforementioned family planning programs. States that, in order to promote research in the biomedical, contraceptive development, social science and operational research fields related to population and family planning the Secretary is authorized to make grants to public agencies and nonprofit organizations and institutions, and to enter into contracts with groups, associations, institutions, individuals, or corporations for the conduct of such research. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for the purpose of making grants and contracts under this section. Authorizes appropriations for fiscal year 1974 through fiscal year 1978 for project grants to assist in meeting the cost of construction and operation of centers for research relating to human reproduction, sterility, contraception, effectiveness of service delivery, population trends, and other aspects of, or factors which affect, population dynamics. States that applications for grants under this section shall be approved by the Secretary only if the applicant is an institution of higher education or other public or private nonprofit institution which the Secretary determines is competent to engage in the type of research necessary. Provides that the total of the grants with respect to such project shall not exceed 75 percent of the cost of the project. States that if within twenty years after completion of any construction for which funds have been paid under this section: (1) the applicant or other owner of the facility shall cease to be a public or private nonprofit institution; or (2) the facility shall cease to be used for the purposes for which it was constructed, unless the Secretary determines, in accordance with the promulgated regulations, that there is good cause for releasing the applicant or other owner from the obligation to do so, the United States shall be entitled to recover from the applicant or other owners of the facility amount bearing the same ratio to the value of the participation bore to the cost of the construction of the facility. Authorizes the Secretary to make project grants and to enter into contracts with public agencies and nonprofit organizations and institutions to assist in developing and making available family planning and population growth information to all persons desiring such information or materials. Authorizes the appropriation of specified sums for the fiscal years 1974 through 1978 for the purpose of making grants or entering into contracts under this section.
Bill· HRH.R. 5947 (93rd)referred
United States · United States Congress · 21 March 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· HRH.R. 5972 (93rd)referred
United States · United States Congress · 21 March 1973
Extends eligibility to medicare benefits for those persons who require permanent or long-term hyperalimentation treatment or intestinal transplants.
Bill· HRH.R. 5948 (93rd)referred
United States · United States Congress · 21 March 1973
National Health Research Fellowship and Traineeship Act - States that the purpose of this Act is to increase the capability of the National Institutes of Health and the National Institute of Mental Health to carry out their statutory responsibility of maintaining a superior national program of biomedical research into the basic biological process and mechanisms involved in the physical and mental diseases and impairments of man. Establishes a national program of health research fellowships and traineeships to assure the continued excellence of biomedical research in the United States. Provides that no individual may receive assistance for more than three years under this Act, and that individuals receiving assistance shall engage in research or teaching for a twenty-four-month period for each full academic year with respect to which he received such assistance. Authorizes to be appropriated an aggregate of $204,000,000 for the fiscal year ending June 30, 1974, $214,500,000 for the fiscal ending June 30, 1975, and $225,000,000 for the fiscal year ending June 30, 1976 to carry out the purposes of this Act.
Bill· HRH.R. 5940 (93rd)referred
United States · United States Congress · 21 March 1973
Establishes, within the Department of Health, Education, and Welfare, an Office of Population Affairs to be directed by an Assistant Secretary for Population Affairs. Sets forth the duties of the Assistant Secretary. Establishes within the Department an Administration on Reproductive Research and Family Planning. Creates within the Administration a National Center for Family Planning Services, headed by a Director, which shall establish identifiable units to carry out, at a minimum, the following functions: Public information, program planning and evaluation, manpower development and training, supervision of field services, and grants management. Establishes within the Administration, a National Institute for Research on Human Reproduction and Population Change which shall establish identifiable units to carry out, at a minimum, the following functions: Reproductive physiology research, contraceptive development and evaluation, operational research, social science research, public information, manpower development and training, and grants management. Establishes a National Family Planning Services Advisory Council to advise, consult with, and make recommendations to the Director, at meetings held no less than two time each year, on matters relating to the activities of the National Center for Family Planning Services. Establishes a National Population Sciences Advisory Council to advise, consult with, and make recommendations, to the Director, at meetings held no less than two times each year, on matters relating to the activities of the National Institute for Research on Human Reproduction and Population Change. Sets forth the functions of the Administration on Reproductive Research and Family Planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Requires the Secretary of Health, Education, and Welfare to submit a report to Congress on each January 1 for the five years following the enactment of this Act. Authorizes appropriations for fiscal years 1974-1976 for the following: (1) special project grants for family planning services; (2) formula grants for family planning, public health services; (3) manpower development and program planning and evaluation; (4) research grants and contracts; (5) grants for support of population sciences research centers; and (6) planning and population growth information distribution and educational materials development.
Bill· HRH.R. 5860 (93rd)referred
United States · United States Congress · 20 March 1973
Allows a tax deduction, without limitation, under the Internal Revenue Code, for medical expenses paid for a dependent who: (1) has not attained the age of 19 before the close of the taxable year and is suffering from a physical or mental impairment or defect which has been in existence for more than 3 months and results in a substantial loss, or loss of use in a normal manner, of any substantial portion of the musculoskeletal system, or result in a substantial loss of vision, hearing, or speech; or (2) has attained the age of 19 before the close of the taxable year and is suffering from a physical or mental impairment or defect described in (1) which commenced prior to attaining such age. (Amends 26 U.S.C. 213 (e))
Bill· HRH.R. 5798 (93rd)referred
United States · United States Congress · 19 March 1973
National Chronicare Demonstration Center Act - States that it is the purpose of this Act to establish demonstration programs to provide a basis for a commitment to a lasting national program for longterm health care for the chronically ill. Authorizes to be appropriated $15,000,000 for fiscal year 1974 and $15,000,000 for each of the next two succeeding fiscal years, to enable the Secretary of Health, Education, and Welfare to make grants to any public, nonprofit or proprietary private agency, institution, or organization or provider of services to cover all or any part of the cost of projects for the development or demonstration of several programs in representative areas of the country designed to care for and rehabilitate chronically ill inpatients of long-term health care facilities by testing the economic feasibility, efficiency and health care delivery system utilizing community chronicare health centers. Provides that to be eligible for a grant under this Act an applicant must give satisfactory assurances of the capability of providing the following: (1) diagnostic service; (2) inpatient care; (3) day care; (4) rehabilitation service (on both inpatient and outpatient basis); and (5) outreach service. Requires the Secretary to make a report to the President for transmission to the Congress within two years after the enactment of this Act stating the progress under this Act and making recommendations for further action if needed.
Bill· HRH.R. 5811 (93rd)referred
United States · United States Congress · 19 March 1973
Requires medical institutions to provide a certificate indicating respect for an individual employee's right not to participate in abortions contrary to that individual's conscience as a requirement for hospital eligibility for Federal financial assistance.
Bill· HRH.R. 5775 (93rd)referred
United States · United States Congress · 19 March 1973
Directs the Secretary of Health, Education, and Welfare to continue to operate and maintain the hospitals and other health care delivery facilities of the Public Health Service to assure that persons entitled to care and treatment at such facilities will continue to receive care and treatment there.
Bill· HRH.R. 5739 (93rd)referred
United States · United States Congress · 15 March 1973
Authorizes the Secretary of Health, Education, and Welfare to make grants to nonprofit private entities and to enter into contracts with private entities: (1) for specified research and development projects designed to improve systems and delivery of health care for persons who are critically ill; (2) to support biomedical engineering projects for testing new instrumentation and systems for delivery of critical health care; and (3) for the establishment and initial operation of not more than ten critical care facilities for the delivery of health care to critically ill patients, which facilities would be used for clinical testing of new instrumentation and health care delivery systems and to train personnel in the use of such instrumentation and systems. Specifies conditions for such grants. Authorizes to be appropriated $20,000,000 to carry out the purposes of this Act.
Bill· HRH.R. 5677 (93rd)referred
United States · United States Congress · 15 March 1973
Emergency Medical Service Systems Act - Establishes, within the Department of Health, Education, and Welfare, an Emergency Medical Services Administration to be headed by a Director who shall be appointed by the President, with the advice and consent of the Senate. Requires the appointment of a qualified health care professional in the position of Director. Authorizes the Director to allot funds to those States which qualify under this Act for distribution to local communities to assist in the development and operation of qualified emergency medical service systems forth criteria for the emergency medical service to be assisted by this Act. Sets forth qualifications for the States and local communities as conditions for such assistance, including the establishment of state Emergency Medical Services Advisory Councils. Establishes standards for the operation of the emergency medical service systems. Transfers to the Director all functions, powers and duties of the Secretary of Transportation and the National Highway Safety Bureau relating to emergency medical services which are being exercised under, in connection with, or as a part of the uniform standards for State highway safety programs. Provides that the standard established by the Director under this Act shall apply to and govern the operation of all ambulance and other emergency medical services which are provided or assisted in any way under Federal law or under programs established, carried on, or supported under Federal law. Provides that loans and grants authorized under this Act may be made only to services that meet the applicable standards established under this Act. Establishes a National Emergency Medical Services Advisory Committee to advise, consult with and make recommendations to the Director with respect to overall planning and policy and the objectives and priorities for all emergency medical services. Provides that the Director, with the approval of the Secretary, shall prescribe such regulations as may be necessary or appropriated to carry out this Act. Provides that the Director shall annually submit to the President and the Congress a full and complete report on activities under this Act. Authorizes to be appropriated for financial assistance and for the initial purchase of ambulance equipment, $150,000,000 for fiscal year 1973, $150,000,000 for fiscal year 1974, $150,000,000 for fiscal year 1975. Authorizes to be appropriated, for other expenses incurred by the Director and the Administration in carrying out this Act, $50,000,000 for fiscal year 1973, $60,000,000 for fiscal year 1974, and $70,000,000 for fiscal year 1975.
Bill· HRH.R. 5699 (93rd)referred
United States · United States Congress · 15 March 1973
Veterans Health Care Expansion Act - Title I: Hospital, Domicilliary, and Medical Care Benefits - Extends the definition of "private facilities" for which the Administrator of Veterans' Affairs contracts in order to provide hospital care to include facilities for the wife or child of a veteran who has a total disability, and the widow or child of a veteran who died from such a disability. Includes in the term "hospital care" mental health services, consultation, professional counseling, and training of a veteran or dependent, or survivor if the veteran has no dependents, as may be necessary or appropriate to the effective treatment and rehabilitation of such individual. Adds home health services which the Administrator deems appropriate for the effective and economical treatment of a disability of a veteran or dependent, or survivor to the definition of the term "medical services." Extends to all veterans, hospital or nursing home care if such veteran is unable to defray the expenses of the necessary care. Allows the Administrator to furnish hospital or nursing home care to the wife or child of a veteran who has a total disability, permanent in nature from a service connected disability, and the widow or child of a veteran who died from such a disability. Permits the Administrator to furnish medical services for any disability on an outpatient or ambulatory basis to persons already described in this act and to any veteran who has a service connected disability rated at eighty percent or more. Authorizes the Administrator, under such regulations as he might prescribe, to reimburse veterans entitled to hospital care as medical services for the reasonable value of such care or services for which such veterans have made payment from sources other than the Veterans' Administration. (Adds 38 U.S.C. 628) Authorizes the President to assist the Republic of the Philippines in providing medical care and treatment for Commonwealth Army veterans and new Philippine Scouts under certain conditions. (Amends 38 U.S.C. 631) Provides that the President may authorize the Administrator to enter contract with the Veterans Memorial Hospital, with the approval of the appropriate department of the Government of the Republic of the Philippines under which the United States: (1) will pay for hospital care in the Republic of the Philippines, or for medical services which shall be provided either in a Veterans Memorial Hospital, or by contract, or otherwise, by the Administrator in accordance with the conditions and limitations applicable generally to beneficiaries under this title, for Commonwealth Army veterans and new Philippine Scouts determined by the Administrator to be in need of such hospital care or medical services for service-connected disabilities; (2) will pay for hospital care at the Veterans Memorial Hospital for Commonwealth Army veterans, and for new Philippine Scouts if they enlisted before July 4, 1946, determined by the Administrator to need such care for non-service-connected disabilities if they are unable to defray the expense of necessary hospital care; and (3) may pay for hospital care, nursing home care, and medical services determined by the Administrator to be necessary for new Philippine Scouts and for any Commonwealth Army veteran under certain conditions and in specified amounts. Provides that the total of the payments authorized shall not exceed $2,000,000 for any one fiscal year ending before July 1, 1978. Authorizes to be appropriated for each fiscal year ending with fiscal year 1978, $100,000 to be used for the education and training of health service personnel at the Veterans Memorial Hospital, and for the upgrading of equipment and in rehabilitating the physical plant and facilities of such hospital. (Amends 38 U.S.C. 632) Authorizes the Administrator to carry out a comprehensive program, providing sickle cell anemia screening, counseling, and treatment and to carry out research and research training in the diagnosis, treatment, and control of sickle cell anemia based upon such screening examinations and treatment. Requires the Administrator to include such information in his annual report to Congress (Adds 38 U.S.C. 651-654) Title II: Amendments to Chapter 73 of Title 38, United States Code Relating to the Department of Medicine and Surgery - Authorizes the Administrator to carry out a major program of recruitment, training, and employment of veterans with various medical military occupation specialties in order to provide a complete medical and hospital service for the medical care and treatment of veterans and to assist in providing an adequate supply of health manpower to the nation. (Amends 38 U.S.C. 41019b) Establishes pay schedules for Assistant Chief Medical Directors, physicians and dentists, and nurses. Provides criteria on which nurses are to receive additional compensation. Enumerates restrictions on physicians, dentists, and nurses, including requirements that no such person may: (1) assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Veteran's Administration facility, except in those cases where the individual, upon request and with the approval of the Chief Medical Director, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed one hundred and eighty calendar days, which may be extended by the Chief Medical Director for additional periods not to exceed one hundred and eighty calendar days each; (2) teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with his responsibilities under this title; and (3) perform, in the course of carrying out his responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for his personal benefit, or both. Provides that temporary full-time appointments of personnel, other than physicians, dentists, and nurses, shall not exceed one year. (Amends 38 U.S.C. 4114(a) (3) (A)) Provides that the Administrator may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and participating with the Veterans' Administration in the training of interns or residents to provide for the central administration of stipend payments, provisions of fringe benefits, and maintenance of records for such interns and residents by the designation of one such institution to serve as a central administrative agency for this purpose. Permits the Administrator to pay to such designated agency, without regard to any other law or regulation governing the expenditure of Government moneys either in advance or in arrears, all amounts to cover the costs for the period such intern or resident serves in a Veterans' Administration hospital. (Adds 38 U.S.C. 4114(b)(2)) Title III: Amendments to Chapter 81 of Title 38, United States Code - Acquisition and Operation of Hospital and Domicilliary Facilities: Procurement and Supply - Requires the Administrator to provide for no less than an average of 98,500 operating beds in Veterans' Administration Hospitals or an average daily patient census in such beds of no less than 85,500 in any fiscal year, nor maintain such a census of less than 82,000 in any such fiscal year. Authorizes the Administrator to establish and operate not less than eight thousand beds for the furnishing of nursing home care to eligible veterans over which the Administrator has direct and exclusive jurisdiction. (Amends 38 U.S.C. 5001(a)) Requires the Administrator to appoint an Advisory Committee on Structural Safety of Veterans Administration Facilities to advise him on all matters of structural safety in the construction and remodeling of Veterans Administration facilities. (Amends 38 U.S.C. 5001(b)) Makes provisions for the partial relinquishment to the States of legislative jurisdiction over lands or interests presently in the Administrator's control. Title IV: Miscellaneous Amendments to Title 38 United States Code - Specifies certain miscellaneous amendments to title 38 of the United States Code. Title V: Effective Dates - Specifies the dates on which the provisions of this act shall become effective.
Bill· HRH.R. 5682 (93rd)referred
United States · United States Congress · 15 March 1973
Provides, under title XIX (Medicaid) of the Social Security Act, that a State plan for medical assistance must include all indivduals who would be eligible for aid under any other State plan and whose income is insufficient to meet medical care costs. Provides that such assistance shall be equal in amount, duration, and scope to that available to other specified groups. (Amends 42 U.S.C. 1396(a))
Bill· HRH.R. 5691 (93rd)referred
United States · United States Congress · 15 March 1973
Extends, under the Public Health Service Act, for one fiscal year, the program of assistance for regional medical programs. (Amends 42 U.S.C. 299a(a))
Bill· HRH.R. 5676 (93rd)referred
United States · United States Congress · 15 March 1973
Emergency Medical Services Act - Authorizes the Secretary of Health, Education, and Welfare to make grants to public and other nonprofit entities for projects to study the feasibility of and plan the establishment and operation of an emergency medical service system for an area. Defines such a system in terms of personnel, facilities, equipment, and service. Authorizes the Secretary of each military department to enter into agreements with such system to provide transportation and other services in emergency conditions. Requires applications for planning grants to demonstrate the need of the area for an emergency medical service system, and to contain assurances that the applicant is qualified for plan. Authorizes appropriations for such program of $5,000,000 for fiscal year 1973, and $10,000,000,000 for fiscal year 1974. Sets conditions for grants for the establishment and initial operation of such systems, and authorizes to be appropriated a total of $190,000,000 for fiscal years 1973, 1974, and 1975. Authorizes the Secretary to make grants to schools of medicine, dentistry and osteopathy and to other educational institutions for research and training programs in the techniques and methods of medical emergency care and treatment. Authorizes to be appropriated for such grants $10,000,000 for fiscal year 1973 and $20,000,000 for fiscal year 1974. Provides that the Secretary shall establish an Interagency Technical Committee on Emergency Medical Services to evaluate the adequacy of all Federal programs and activities which relate to emergency medical services, and to assist in coordinating such programs.
Bill· HRH.R. 5637 (93rd)referred
United States · United States Congress · 14 March 1973
Prohibits the impoundment of funds appropriated for the Special Action Office for Drug Abuse Prevention.
Bill· HRH.R. 5609 (93rd)referred
United States · United States Congress · 14 March 1973
Bill of Rights for the Mentally Retarded - States that the purpose of this Act is to establish standards which assure the humane care, treatment, habilitation, and protection of the mentally retarded in residential facilities, and to improve the system for the provision of services to the mentally retarded through the encouragement of and support for the planning and development of strategies to implement such standards, minimize inappropriate admissions to residential facilities and stimulate the development of regional and community programs integrating such residential facilities which conform to such standards. Provides for a new title to the Public Health Service Act: Title XI: Support of Residential Facilities for the Mentally Retarded - Authorizes the Secretary of Health, Education, and Welfare to make grants to States to aid them with the cost of bringing existing residential facilities into compliance with the standards established under this Act, and to improve existing residential facilities for the mentally retarded. Authorizes to be appropriated $30,000,000 ($15,000,000 for each program) for fiscal year 1973, and for each of the next two succeeding fiscal years, for such grants. Authorizes to be appropriated such sums as may be necessary to enable the Secretary to make grants to States for the purpose of assisting States in meeting the expenses for bringing publicly operated facilities and publicly assisted facilities into conformity with the standards established by this Act. Stipulates that any State desiring to receive such a grant shall submit a plan to the Secretary setting forth a schedule for compliance with such standards. Provides that the total of the grants with respect to any such project bringing facilities into conformity with the standards imposed by this Act may not exceed 75 percent of the necessary cost thereof as determined by the Secretary. Requires, within five years after the date of enactment of this Act, that no residential facility for the mentally retarded shall be eligible to receive payments either directly or indirectly under any Federal law, unless such facility meets the standards promulgated under this Act. Authorizes the Secretary to make grants to any public or private non-profit agency, organization or institution to meet the costs of development, improvement, extension, or expansion of community resources and community living situations for the mentally retarded other than live-in-residential facilities for the mentally retarded. Establishes a National Advisory Council on Standards for Residential Facilities for the Mentally Retarded to: (1) advise the Secretary with respect to any regulations promulgated or proposed in the implementation of the standards established under this Act; (2) study and evaluate such standards authorized by this Act; and (3) recommend to the Secretary any changes, revisions, modifications, or improvements in the standards established under this Act. Provides that the ultimate aim of the residential facility shall be to foster those behaviors that maximize the human qualities of the resident, increase the complexity of his behavior, and enhance his ability to cope with his environment. Requires such facilities to be located within, and conveniently accessible to, the population served, so as to have access to necessary generic community services. Provides that the facility and the surrounding community should be encouraged to share their services and resources on a reciprocal basis. Provides that residents of the facility should be integrated to the greatest possible extent with the general population. Provides that the facility shall have a written outline of the philosophy, objectives, and goals it is striving to achieve. Requires such outline to be available for distribution to staff, consumer representatives, and the interested public. Provides that the governing body of the facility shall exercise general direction and shall establish policies concerning the operation of the individuals served. Provides that the administration of the facility shall provide for effective staff and resident participation and communication. Requires the facility to designate a percentage of its operating budget for self-renewal purposes. Provides that the facility shall have a description of services for residents that is available to the public. Provides that the facility shall provide for meaningful and extensive consumer-representative and public participation. Provides that a public education and information program should be established that utilizes all communication media, and all service, religious and civil groups, to develop attitudes of understanding and acceptance of mentally retarded persons in all aspects of community living. Provides that admission and release procedures shall: (1) encourage voluntary admission; (2) give equal priority to persons of comparable need; (3) facilitate emergency, partial, and short-term residential care; and (4) utilize the maximum feasible amount of voluntariness in each individual case. Authorizes the residential facility to admit only residents who have had a comprehensive evaluation. Provides that all admissions to the residential facility shall be considered temporary. Provides that there shall be a regular, at least annual, joint review of the status of each resident by all relevant personnel. Provides that at the time of permanent release or transfer there shall be recorded a summary of findings, progress, and plans for protective supervision and other followup services in the resident's new environment. Provides that the performance of each employee of the facility shall be evaluated at least annually. Provides that staffing shall be sufficient so that the facility is not dependent upon the use of residents or volunteers for productive services. Provides that food services shall recognize and provide for the physiological, emotional, and cultural needs of each resident, through provision of a planned, nutritionally adequate diet. Provides that each resident shall have an adequate allowance of neat, clean, fashionable, and seasonable clothing. Provides that residents shall be trained to exercise maximum independence in health, hygiene, and grooming practices. Provides that living unit components or groupings shall be small enough to insure the development of meaningful interpersonal relationships among residents and between residents and staff. Requires dental services to be provided all residents in order to maximize their general health by maintaining an optimal level of daily oral health, through preventive measures and correcting existing oral diseases. Provides that educational services, defined as deliberate attempts to facilitate the intellectual, sensorimotor, and affective development of the individual, shall be available to all residents, regardless of chronological age, degree of retardation, or accompanying disabilities or handicaps. Provides that food and nutrition services shall be provided in order to: (1) insure optimal nutritional status of each resident, thereby enhancing his physical, emotional, and social well-being; and (2) provide a nutritionally adequate diet, in a form consistent with developmental level, to meet the dietary needs of each resident. Makes library services, which include the location, acquisition, organization, utilization, retrieval, and delivery of materials in a variety of media, available to the facility, in order to support and strengthen its total habilitation program by providing complete and integrated multimedia information services to both staff and residents. Provides that medical services shall be provided in order to: (1) achieve and maintain an optimal level of general health for each resident; (2) maximize normal function and prevent disability; and (3) facilitate the optimal development of each resident. Provides that residents shall be provided with nursing services, in accordance with their needs, in order to: (1) develop and maintain an environment that will meet their total health needs; (2) foster optimal health; (3) encourage maximum self-care and independence; and (4) provide skilled nursing care. Provides that, where appropriate to the facility, there shall be a pharmacy and therapeutics committee, that includes one or more pharmacists, to develop policy on drug usage in the facility, and to develop and maintain a current formulary. Provides that physical and occupational therapy services shall be provided in order to: (1) prevent abnormal development and further disability; (2) facilitate the optimal development of each resident; and (3) enable the resident to be a contributing and participating member of the community in which he resides. Requires psychological services be provided in order to facilitate, through the application of psychological principles, techniques, and skills, the optimal development of each resident. Provides that recreation services should provide each resident with a program of activities that: (1) promotes physical and mental health; (2) promotes optimal sensorimotor, cognitive, affective, and social development; (3) encourages movement from dependent to independent and interdependent functioning; and (4) provides for the enjoyable use of leisure time. Make religious services available to residents, in accorance with their basic right to freedom of religion. Provides that all social services shall be available to all residents and their families in order to foster and facilitate: (1) maximum personal and social development of the resident; (2) positive family functioning; and (3) effective and satisfying social and community relationships. Provides that speech pathology and audiology services shall be available, in order to: (1) maximize the communications skills of all residents; and (2) provide for the evaluation, counseling, treatment, and rehabilitation of those residents with speech, hearing and/or language handicaps. Requires each facility to provide all its residents with rehabilitation services, which include the establishment, maintenance, and implementation of those programs that will ensure the optimal development or restoration of each resident physically, psychologically, socially and vocationally. Provides that volunteer services shall be provided in order to enhance opportunities for the fullest realization of the potential of each resident by: (1) increasing the amount, and improving the quality, of services and programs; and (2) facilitating positive relationships between the facility and the community which it serves. Provides that a record shall be maintained for each resident that is adequate for: (1) planning and continuous evaluating of the resident's habitation program; (2) providing a means of communication among all persons contributing to the resident's habilitation program; (3) furnishing documentary evidence of the resident's progress and of his response to his habilitation program; (4) serving as a basis for review, study, and evaluation of the overall programs provided by the facility for its residents; (5) protecting the legal rights of the residents, facility, and staff; and (6) providing data for use in research and education. Provides that the administration of the facility shall make provision for the design and conduct, or the supervision, of research that will objectively evaluate the effectiveness of program components and contribute to informed decisionmaking in the facility. Provides that the requirements of the Secretary shall be met, with specific reference to the following: (1) provision of adequate and alternate exits and doors; (2) provision of exit ramps, with nonskid surface and slope not exceeding one foot in twelve; and (3) provision for handrails on stairways. Provides that there shall be records that document strict compliance with the sanitation, health, and environmental safety codes of the State or local authorities having primary jurisdiction over the facility. Provides that adequate, modern administrative support shall be provided to efficiently meet the needs of, and contribute to, program services for residents, and to facilitate attainment of the goals and objectives of the facility. Provides that funds shall be budgeted and spent in accordance with the principles and procedures of program budgeting. Provides that there shall be written purchasing policies regarding authority and approvals for supplies, services, and equipment.
Bill· HRH.R. 5640 (93rd)referred
United States · United States Congress · 14 March 1973
National Health Research Fellowship and Traineeship Act - States that the purpose of this Act is to increase the capability of the National Institutes of Health and National Institute of Mental Health to maintain a national program of biomedical research. Establishes, under the Public Health Service Act, a national program of health research fellowships and traineeships for persons intending to enter research or teaching. Authorizes appropriations for the purposes of carrying out this Act.
Bill· HRH.R. 5636 (93rd)referred
United States · United States Congress · 14 March 1973
Prohibits the impoundment of funds appropriated for the National Institutes of Health for assistance to education under specified Acts, or for related programs and activities under the jurisdiction of the Secretary of Health, Education, and Welfare.
Bill· HRH.R. 5612 (93rd)referred
United States · United States Congress · 14 March 1973
National Catastrophic Illness Protection Act - PART A: General Provisions - Sets forth the findings of the Congress that there are still many individuals who cannot secure or cannot afford adequate health insurance protection and that very little insurance protection is available to help meet the costs of a catastrophic illness or disease. Establishes as the policy of Congress the need for a National Catastrophic Illness Insurance program to encourage State and private insurers in the development of policies which will meet the problems set forth in the statement of findings. PART B: Establishment of Program; State Plans - Authorizes the Secretary of Health, Education and Welfare to establish and carry out a National Catastrophic Illness Insurance Program. Provides that the program shall involve the creation of State-wide plans providing extended health insurance , and that the Federal Government will reinsure insurers and pools of insurers who offer such insurance. Requires all plans to include: (1) that extended health insurance be available to all eligible individuals, and at a cost which is reasonable, subject only to deductibles authorized in this Act; (2) that where an insurer does not agree to write a policy of extended insurance, or does so under various limiting conditions, the State authority is notified and provides that the policy would then be placed with a pool or otherwise assigned to insurers by the "all-industry placement facility" ; (3) that data be compiled and studied in connection with the operation of the State-wide plan; (4) that certain reports be submitted to the State insurance authority by individual insurers; (5) that any cancellation of a policy provide for reasonable notice to permit coverage under a new policy to be written under the plan; and (6) that public information about the plan be readily distributed. Sets premium rates on the basis of a study of the risks in question and actuarial principals, such rates to be promulgated by the Secretary. Provides that, before payments are made under an extended insurance policy, a deductible must be satisfied through an equal amount of medical expenses paid or incurred by such individual. Provides that the amount of such deductible is determined by relating the extent of medical expenses to adjusted income and is equal to one-half of the amount by which a person's or family's adjusted income exceeds $1,000 but does not exceed $2,000; plus all of the amount by which such adjusted income exceeds $2,000. Provides that statements pledging participation and cooperation with the State insurance authority would be required of insurers seeking reinsurance under the program. Provides that no insurer shall direct any agent or broker not to solicit business through such a plan, nor penalize agents or brokers in any manner for submitting applications under the plan. Provides that the State plan shall be evaluated from time to time in accordance with criteria established by the Secretary. PART C: Reinsurance Coverage - Provides that the Secretary is authorized to reinsure against the losses which might be incurred under extended health insurance policies. Authorizes the Secretary to make agreements with insurers and pools for reinsurance in consideration of payments of reinsurance premiums deposited in the National Catastrophic Illness Insurance Fund in excess of the estimated amount of losses under such policies. Provides a detailed procedure for implementation of the reinsurance program in a State within specified time requirements, taking into account certain State and local factors which might affect such implementation. Provides that the Government may recover in the courts any unpaid premiums lawfully payable to the Government by an insurer under provisions of a 5-year statute of limitations. PART D: Government Program with Industry Assistance - Authorizes, after determination that a State-wide program cannot be carried out, or that the objective of the program would be materially assisted by the Federal Government's assumption of the plan, arrangements for operation by the Government to carry out the objectives of the program. PART E: Provisions of General Applicability - Provides procedures for judicial review of disallowances for claims for losses under the reinsurance program whether State-wide or operated by the Federal Government. Authorizes the Government to enter into contracts and other arrangements for claims review, and receiving and disbursing funds for making payments. Provides for the creation of a National Catastrophic Illness Insurance Fund for purposes of receiving premiums for reinsurance. Provides that the Secretary may make periodic payments to insurers and pools in recognition of reduction in premium rates below estimated risks. Authorizes the Secretary of HEW to exercise certain powers vested in the Secretary of the Department of Housing and Urban Development under the Housing Act of 1950, in addition to powers provided in this proposal. Provides that the Secretary may, on a reimbursable basis, utilize the services of other Government agencies. Authorizes necessary payment adjustments in connection with the program.
Bill· HRH.R. 5608 (93rd)referred
United States · United States Congress · 14 March 1973
Health Programs Extension Act - Title I: Amendments to Public Health Service Act - Extends appropriations through fiscal year 1974 for the following programs under the Public Health Service Act: (1) health services research and development, (2) national health surveys and studies, (3) public health training, (4) migrant health (5) comprehensive health planning and services (6) assistance to medical libraries (7) Hill-Burton programs for construction of medical library facilities (8) training in the allied health professions, (9) regional medical programs, and (10) population research and family planning. Title II: Amendments to the Community Mental Health Centers Act - Extends appropriations through fiscal year 1974 for the following programs under the Community Mental Health Centers Act: (1) construction assistance for mental health centers, (2) staffing assistance for mental health centers, (3) alcoholism programs (4) drug abuse programs, (5)consultation services, and (6) mental health of children. Title III: Amendments to the Developmental Disabilities Services and Facilities Construction Act - Extends appropriations through fiscal year 1974 for construction, services, and planning under the Developmental Disabilities Services and Facilities Construction Act. Title IV: Funding Assurances - Extends appropriations through fiscal year 1974 for programs under the Medical Facilities Construction and Modernization Amendment of 1970.
Bill· SS. 1190 (93rd)referred
United States · United States Congress · 13 March 1973
Provides that nothing in the Atomic Energy Act of 1954 shall be construed to prevent any State from regulating concurrently with the Atomic Energy Commission the discharge or disposal of radioactive effluents from the site of a utilization or production facility in such State if: (1) the requirements or standards imposed by such State are for the protection of the public health and safety; and (2) action permitted or tolerated by such State with respect to the discharge or disposal of such effluents is not specifically prohibited by the Commission.
Bill· HRH.R. 5553 (93rd)referred
United States · United States Congress · 13 March 1973
Mental Retardation Facilities and Community Health Centers Construction Act Amendments - Provides for Federal grants not to exceed 75 percent for costs of initiating services in community mental retardation facilities for the purposes of assisting public and non-profit private agencies, organizations, or institutions to initiate, extend, and improve services in facilities for the mentally retarded designed to serve particular community needs. Authorizes the Secretary of Health, Education and Welfare to determine whether Federal funds made available under this Act for any period will be used to supplement and to increase the level of State, local, and other non-Federal funds for mental retardation services. Prescribes general standards of eligibility with respect to which grants may be made under this Act. Provides that payments under this Act with respect to any project may be made for a period not to exceed 5 years beginning with the commencement of the first fiscal year for which any payment is made.
Bill· HRH.R. 5533 (93rd)referred
United States · United States Congress · 13 March 1973
Bill of Rights for the Mentally Retarded - States that the purpose of this Act is to establish standards which assure the humane care, treatment, habilitation, and protection of the mentally retarded in residential facilities, and to improve the system for the provision of services to the mentally retarded through the encouragement of and support for the planning and development of strategies to implement such standards, minimize inappropriate admissions to residential facilities and stimulate the development of regional and community programs integrating such residential facilities which conform to such standards. Provides for a new title to the Public Health Service Act: Title XI: Support of Residential Facilities for the Mentally Retarded - Authorizes the Secretary of Health, Education, and Welfare to make grants to States to aid them with the cost of bringing existing residential facilities into compliance with the standards established under this Act, and to improve existing residential facilities for the mentally retarded. Authorizes to be appropriated $30,000,000 ($15,000,000 for each program) for fiscal year 1973, and for each of the next two succeeding fiscal years, for such grants. Authorizes to be appropriated such sums as may be necessary to enable the Secretary to make grants to States for the purpose of assisting States in meeting the expenses for bringing publicly operated facilities and publicly assisted facilities into conformity with the standards established by this Act. Stipulates that any State desiring to receive such a grant shall submit a plan to the Secretary setting forth a schedule for compliance with such standards. Provides that the total of the grants with respect to any such project bringing facilities into conformity with the standards imposed by this Act may not exceed 75 percent of the necessary cost thereof as determined by the Secretary. Requires, within five years after the date of enactment of this Act, that no residential facility for the mentally retarded shall be eligible to receive payments either directly or indirectly under any Federal law, unless such facility meets the standards promulgated under this Act. Authorizes the Secretary to make grants to any public or private non-profit agency, organization or institution to meet the costs of development, improvement, extension, or expansion of community resources and community living situations for the mentally retarded other than live-in-residential facilities for the mentally retarded. Establishes a National Advisory Council on Standards for Residential Facilities for the Mentally Retarded to: (1) advise the Secretary with respect to any regulations promulgated or proposed in the implementation of the standards established under this Act; (2) study and evaluate such standards authorized by this Act; and (3) recommend to the Secretary any changes, revisions, modifications, or improvements in the standards established under this Act. Provides that the ultimate aim of the residential facility shall be to foster those behaviors that maximize the human qualities of the resident, increase the complexity of his behavior, and enhance his ability to cope with his environment. Requires such facilities to be located within, and conveniently accessible to, the population served, so as to have access to necessary generic community services. Provides that the facility and the surrounding community should be encouraged to share their services and resources on a reciprocal basis. Provides that residents of the facility should be integrated to the greatest possible extent with the general population. Provides that the facility shall have a written outline of the philosophy, objectives, and goals it is striving to achieve. Requires such outline to be available for distribution to staff, consumer representatives, and the interested public. Provides that the governing body of the facility shall exercise general direction and shall establish policies concerning the operation of the individuals served. Provides that the administration of the facility shall provide for effective staff and resident participation and communication. Requires the facility to designate a percentage of its operating budget for self-renewal purposes. Provides that the facility shall have a description of services for residents that is available to the public. Provides that the facility shall provide for meaningful and extensive consumer-representative and public participation. Provides that a public education and information program should be established that utilizes all communication media, and all service, religious and civil groups, to develop attitudes of understanding and acceptance of mentally retarded persons in all aspects of community living. Provides that admission and release procedures shall: (1) encourage voluntary admission; (2) give equal priority to persons of comparable need; (3) facilitate emergency, partial, and short-term residential care; and (4) utilize the maximum feasible amount of voluntariness in each individual case. Authorizes the residential facility to admit only residents who have had a comprehensive evaluation. Provides that all admissions to the residential facility shall be considered temporary. Provides that there shall be a regular, at least annual, joint review of the status of each resident by all relevant personnel. Provides that at the time of permanent release or transfer there shall be recorded a summary of findings, progress, and plans for protective supervision and other followup services in the resident's new environment. Provides that the performance of each employee of the facility shall be evaluated at least annually. Provides that staffing shall be sufficient so that the facility is not dependent upon the use of residents or volunteers for productive services. Provides that food services shall recognize and provide for the physiological, emotional, and cultural needs of each resident, through provision of a planned, nutritionally adequate diet. Provides that each resident shall have an adequate allowance of neat, clean, fashionable, and seasonable clothing. Provides that residents shall be trained to exercise maximum independence in health, hygiene, and grooming practices. Provides that living unit components or groupings shall be small enough to insure the development of meaningful interpersonal relationships among residents and between residents and staff. Requires dental services to be provided all residents in order to maximize their general health by maintaining an optimal level of daily oral health, through preventive measures and correcting existing oral diseases. Provides that educational services, defined as deliberate attempts to facilitate the intellectual, sensorimotor, and affective development of the individual, shall be available to all residents, regardless of chronological age, degree of retardation, or accompanying disabilities or handicaps. Provides that food and nutrition services shall be provided in order to: (1) insure optimal nutritional status of each resident, thereby enhancing his physical, emotional, and social well-being; and (2) provide a nutritionally adequate diet, in a form consistent with developmental level, to meet the dietary needs of each resident. Makes library services, which include the location, acquisition, organization, utilization, retrieval, and delivery of materials in a variety of media, available to the facility, in order to support and strengthen its total habilitation program by providing complete and integrated multimedia information services to both staff and residents. Provides that medical services shall be provided in order to: (1) achieve and maintain an optimal level of general health for each resident; (2) maximize normal function and prevent disability; and (3) facilitate the optimal development of each resident. Provides that residents shall be provided with nursing services, in accordance with their needs, in order to: (1) develop and maintain an environment that will meet their total health needs; (2) foster optimal health; (3) encourage maximum self-care and independence; and (4) provide skilled nursing care. Provides that, where appropriate to the facility, there shall be a pharmacy and therapeutics committee, that includes one or more pharmacists, to develop policy on drug usage in the facility, and to develop and maintain a current formulary. Provides that physical and occupational therapy services shall be provided in order to: (1) prevent abnormal development and further disability; (2) facilitate the optimal development of each resident; and (3) enable the resident to be a contributing and participating member of the community in which he resides. Requires psychological services be provided in order to facilitate, through the application of psychological principles, techniques, and skills, the optimal development of each resident. Provides that recreation services should provide each resident with a program of activities that: (1) promotes physical and mental health; (2) promotes optimal sensorimotor, cognitive, affective, and social development; (3) encourages movement from dependent to independent and interdependent functioning; and (4) provides for the enjoyable use of leisure time. Make religious services available to residents, in accorance with their basic right to freedom of religion. Provides that all social services shall be available to all residents and their families in order to foster and facilitate: (1) maximum personal and social development of the resident; (2) positive family functioning; and (3) effective and satisfying social and community relationships. Provides that speech pathology and audiology services shall be available, in order to: (1) maximize the communications skills of all residents; and (2) provide for the evaluation, counseling, treatment, and rehabilitation of those residents with speech, hearing and/or language handicaps. Requires each facility to provide all its residents with rehabilitation services, which include the establishment, maintenance, and implementation of those programs that will ensure the optimal development or restoration of each resident physically, psychologically, socially and vocationally. Provides that volunteer services shall be provided in order to enhance opportunities for the fullest realization of the potential of each resident by: (1) increasing the amount, and improving the quality, of services and programs; and (2) facilitating positive relationships between the facility and the community which it serves. Provides that a record shall be maintained for each resident that is adequate for: (1) planning and continuous evaluating of the resident's habitation program; (2) providing a means of communication among all persons contributing to the resident's habilitation program; (3) furnishing documentary evidence of the resident's progress and of his response to his habilitation program; (4) serving as a basis for review, study, and evaluation of the overall programs provided by the facility for its residents; (5) protecting the legal rights of the residents, facility, and staff; and (6) providing data for use in research and education. Provides that the administration of the facility shall make provision for the design and conduct, or the supervision, of research that will objectively evaluate the effectiveness of program components and contribute to informed decisionmaking in the facility. Provides that the requirements of the Secretary shall be met, with specific reference to the following: (1) provision of adequate and alternate exits and doors; (2) provision of exit ramps, with nonskid surface and slope not exceeding one foot in twelve; and (3) provision for handrails on stairways. Provides that there shall be records that document strict compliance with the sanitation, health, and environmental safety codes of the State or local authorities having primary jurisdiction over the facility. Provides that adequate, modern administrative support shall be provided to efficiently meet the needs of, and contribute to, program services for residents, and to facilitate attainment of the goals and objectives of the facility. Provides that funds shall be budgeted and spent in accordance with the principles and procedures of program budgeting. Provides that there shall be written purchasing policies regarding authority and approvals for supplies, services, and equipment.
Bill· HRH.R. 5554 (93rd)referred
United States · United States Congress · 13 March 1973
Bill of Rights for the Mentally Retarded - States that the purpose of this Act is to establish standards which assure the humane care, treatment, habilitation, and protection of the mentally retarded in residential facilities, and to improve the system for the provision of services to the mentally retarded through the encouragement of and support for the planning and development of strategies to implement such standards, minimize inappropriate admissions to residential facilities and stimulate the development of regional and community programs integrating such residential facilities which conform to such standards. Provides for a new title to the Public Health Service Act: Title XI: Support of Residential Facilities for the Mentally Retarded - Authorizes the Secretary of Health, Education, and Welfare to make grants to States to aid them with the cost of bringing existing residential facilities into compliance with the standards established under this Act, and to improve existing residential facilities for the mentally retarded. Authorizes to be appropriated $30,000,000 ($15,000,000 for each program) for fiscal year 1973, and for each of the next two succeeding fiscal years, for such grants. Authorizes to be appropriated such sums as may be necessary to enable the Secretary to make grants to States for the purpose of assisting States in meeting the expenses for bringing publicly operated facilities and publicly assisted facilities into conformity with the standards established by this Act. Stipulates that any State desiring to receive such a grant shall submit a plan to the Secretary setting forth a schedule for compliance with such standards. Provides that the total of the grants with respect to any such project bringing facilities into conformity with the standards imposed by this Act may not exceed 75 percent of the necessary cost thereof as determined by the Secretary. Requires, within five years after the date of enactment of this Act, that no residential facility for the mentally retarded shall be eligible to receive payments either directly or indirectly under any Federal law, unless such facility meets the standards promulgated under this Act. Authorizes the Secretary to make grants to any public or private non-profit agency, organization or institution to meet the costs of development, improvement, extension, or expansion of community resources and community living situations for the mentally retarded other than live-in-residential facilities for the mentally retarded. Establishes a National Advisory Council on Standards for Residential Facilities for the Mentally Retarded to: (1) advise the Secretary with respect to any regulations promulgated or proposed in the implementation of the standards established under this Act; (2) study and evaluate such standards authorized by this Act; and (3) recommend to the Secretary any changes, revisions, modifications, or improvements in the standards established under this Act. Provides that the ultimate aim of the residential facility shall be to foster those behaviors that maximize the human qualities of the resident, increase the complexity of his behavior, and enhance his ability to cope with his environment. Requires such facilities to be located within, and conveniently accessible to, the population served, so as to have access to necessary generic community services. Provides that the facility and the surrounding community should be encouraged to share their services and resources on a reciprocal basis. Provides that residents of the facility should be integrated to the greatest possible extent with the general population. Provides that the facility shall have a written outline of the philosophy, objectives, and goals it is striving to achieve. Requires such outline to be available for distribution to staff, consumer representatives, and the interested public. Provides that the governing body of the facility shall exercise general direction and shall establish policies concerning the operation of the individuals served. Provides that the administration of the facility shall provide for effective staff and resident participation and communication. Requires the facility to designate a percentage of its operating budget for self-renewal purposes. Provides that the facility shall have a description of services for residents that is available to the public. Provides that the facility shall provide for meaningful and extensive consumer-representative and public participation. Provides that a public education and information program should be established that utilizes all communication media, and all service, religious and civil groups, to develop attitudes of understanding and acceptance of mentally retarded persons in all aspects of community living. Provides that admission and release procedures shall: (1) encourage voluntary admission; (2) give equal priority to persons of comparable need; (3) facilitate emergency, partial, and short-term residential care; and (4) utilize the maximum feasible amount of voluntariness in each individual case. Authorizes the residential facility to admit only residents who have had a comprehensive evaluation. Provides that all admissions to the residential facility shall be considered temporary. Provides that there shall be a regular, at least annual, joint review of the status of each resident by all relevant personnel. Provides that at the time of permanent release or transfer there shall be recorded a summary of findings, progress, and plans for protective supervision and other followup services in the resident's new environment. Provides that the performance of each employee of the facility shall be evaluated at least annually. Provides that staffing shall be sufficient so that the facility is not dependent upon the use of residents or volunteers for productive services. Provides that food services shall recognize and provide for the physiological, emotional, and cultural needs of each resident, through provision of a planned, nutritionally adequate diet. Provides that each resident shall have an adequate allowance of neat, clean, fashionable, and seasonable clothing. Provides that residents shall be trained to exercise maximum independence in health, hygiene, and grooming practices. Provides that living unit components or groupings shall be small enough to insure the development of meaningful interpersonal relationships among residents and between residents and staff. Requires dental services to be provided all residents in order to maximize their general health by maintaining an optimal level of daily oral health, through preventive measures and correcting existing oral diseases. Provides that educational services, defined as deliberate attempts to facilitate the intellectual, sensorimotor, and affective development of the individual, shall be available to all residents, regardless of chronological age, degree of retardation, or accompanying disabilities or handicaps. Provides that food and nutrition services shall be provided in order to: (1) insure optimal nutritional status of each resident, thereby enhancing his physical, emotional, and social well-being; and (2) provide a nutritionally adequate diet, in a form consistent with developmental level, to meet the dietary needs of each resident. Makes library services, which include the location, acquisition, organization, utilization, retrieval, and delivery of materials in a variety of media, available to the facility, in order to support and strengthen its total habilitation program by providing complete and integrated multimedia information services to both staff and residents. Provides that medical services shall be provided in order to: (1) achieve and maintain an optimal level of general health for each resident; (2) maximize normal function and prevent disability; and (3) facilitate the optimal development of each resident. Provides that residents shall be provided with nursing services, in accordance with their needs, in order to: (1) develop and maintain an environment that will meet their total health needs; (2) foster optimal health; (3) encourage maximum self-care and independence; and (4) provide skilled nursing care. Provides that, where appropriate to the facility, there shall be a pharmacy and therapeutics committee, that includes one or more pharmacists, to develop policy on drug usage in the facility, and to develop and maintain a current formulary. Provides that physical and occupational therapy services shall be provided in order to: (1) prevent abnormal development and further disability; (2) facilitate the optimal development of each resident; and (3) enable the resident to be a contributing and participating member of the community in which he resides. Requires psychological services be provided in order to facilitate, through the application of psychological principles, techniques, and skills, the optimal development of each resident. Provides that recreation services should provide each resident with a program of activities that: (1) promotes physical and mental health; (2) promotes optimal sensorimotor, cognitive, affective, and social development; (3) encourages movement from dependent to independent and interdependent functioning; and (4) provides for the enjoyable use of leisure time. Make religious services available to residents, in accorance with their basic right to freedom of religion. Provides that all social services shall be available to all residents and their families in order to foster and facilitate: (1) maximum personal and social development of the resident; (2) positive family functioning; and (3) effective and satisfying social and community relationships. Provides that speech pathology and audiology services shall be available, in order to: (1) maximize the communications skills of all residents; and (2) provide for the evaluation, counseling, treatment, and rehabilitation of those residents with speech, hearing and/or language handicaps. Requires each facility to provide all its residents with rehabilitation services, which include the establishment, maintenance, and implementation of those programs that will ensure the optimal development or restoration of each resident physically, psychologically, socially and vocationally. Provides that volunteer services shall be provided in order to enhance opportunities for the fullest realization of the potential of each resident by: (1) increasing the amount, and improving the quality, of services and programs; and (2) facilitating positive relationships between the facility and the community which it serves. Provides that a record shall be maintained for each resident that is adequate for: (1) planning and continuous evaluating of the resident's habitation program; (2) providing a means of communication among all persons contributing to the resident's habilitation program; (3) furnishing documentary evidence of the resident's progress and of his response to his habilitation program; (4) serving as a basis for review, study, and evaluation of the overall programs provided by the facility for its residents; (5) protecting the legal rights of the residents, facility, and staff; and (6) providing data for use in research and education. Provides that the administration of the facility shall make provision for the design and conduct, or the supervision, of research that will objectively evaluate the effectiveness of program components and contribute to informed decisionmaking in the facility. Provides that the requirements of the Secretary shall be met, with specific reference to the following: (1) provision of adequate and alternate exits and doors; (2) provision of exit ramps, with nonskid surface and slope not exceeding one foot in twelve; and (3) provision for handrails on stairways. Provides that there shall be records that document strict compliance with the sanitation, health, and environmental safety codes of the State or local authorities having primary jurisdiction over the facility. Provides that adequate, modern administrative support shall be provided to efficiently meet the needs of, and contribute to, program services for residents, and to facilitate attainment of the goals and objectives of the facility. Provides that funds shall be budgeted and spent in accordance with the principles and procedures of program budgeting. Provides that there shall be written purchasing policies regarding authority and approvals for supplies, services, and equipment.
Bill· HRH.R. 5550 (93rd)referred
United States · United States Congress · 13 March 1973
National Health Care Services Reorganization and Financing Act - Title I: Reorganization of National Health Services - National Health Care Services Reorganization Act - Includes the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, and Guam in the definition of "State." Establishes the Department of Health which shall be headed by a Secretary of Health appointed by the President, by and with the advice and consent of the Senate. Provides for the appointment by the President, by and with the consent of the Senate, of an Under Secretary who shall act for, and exercise the powers of, the Secretary during the absence or disability of the Secretary. States that the Under Secretary shall perform such functions as the Secretary shall from time to time prescribe. Provides that there shall be in the Department seven Assistant Secretaries, a General Counsel, and a Chief Medical Officer who shall be appointed by the President, by and with the advice and consent of the Senate. Transfers to the Secretary and in specified instances to the Chief Medical Officer all functions of the Secretary of Health, Education and Welfare under laws and provisions of law listed in this Act. Provides that within one hundred and eighty days of the effective date of this title the President may transfer to the Secretary any function not transferred to the Secretary by this title, if the Director of the Office of Management and Budget determines that such function relates primarily to functions transferred by this title to the Secretary, or otherwise relates to health. Redesignates the Department of Health, Education and Welfare as the Department of Education and Welfare. Sets forth provisions concerning the administrative functions of the Department of Health. Requires the Secretary to make an annual report in writing to the President for submission to the Congress on the activities of the Department during the preceding fiscal year. Provides that all orders, determinations, rules, regulations, permits, contracts, certificates, licenses and privileges which have been issued under provisions of law transferred by this title and which are in effect at the time this title takes effect shall continue in effect until modified, terminated, superseded, set aside, or repealed by the Secretary, by any court of competent jurisdiction, or by operation of law. Directs the Secretary to submit to the Congress within two years after the effective date of this title a proposed codification of all laws which contain functions transferred to the Secretary. Makes the Secretary responsible for the planning, administration, operation, coordination, and evaluation of all programs transferred to him under this title in addition to the Health Care Program authorized under this Act. Authorizes the Secretary to prescribe such regulations as he deems necessary for the efficient administration of the Act. Establishes a National Health Services Advisory Council which shall consist of the Secretary and twenty members appointed by the Secretary. Sets forth the terms of office of the members of the Council. Authorizes the Council to: (1) advise the Secretary on matters of general policy in the administration of this title and in the formation of regulations, and (2) study the operation of this title and the activities of State Health Commission, Health Care Corporations, and other providers. Requires the Council to make an annual report to the Secretary for transmittal to the Congress. Authorizes the Secretary to provide financial and technical assistance for the early planning, development, establishment, and initial operation of Health Care Corporations, including incentives for the use of the capitation payment method of health care and for the development and improvement of outpatient care centers. States that the Secretary may provide such assistance by means of grants and contracts. Provides that in making such grants and contracts the Secretary shall take into account existing health care resources and health care delivery systems, the relative need of the States and areas within the States for assistance, and the need for an equitable distribution of such assistance. Authorizes the Secretary to make grants to State Health Commissions to facilitate and expedite the submission of State plans to the Secretary as required by this title. Authorizes to be appropriated for planning grants such sums as may be necessary for each of three fiscal years beginning with the fiscal year in which this Act is enacted. Provides for a Federal payment of 90 percent of the sums expended for the proper and efficient administration of an approved State plan. Decreases such payment over a specified time period to 75 percent of the State expenditures. Sets forth penalties for criminal violations of this Act. Declares that States will be in compliance with this Act if: (1) the State has created, within the executive branch of the State government, a State agency headed by a State Health Commission for carrying out the responsibilities devolving upon the State under this Act; (2) there is established in such agency a State Advisory Council; and (3) there is in effect an approved State plan, submitted by the State Health Commission, for carrying out the State's responsibilities under this title. Provides that a State Health Commission shall be composed of three or five members appointed by the Governor of the State for staggered terms which shall be renewable. States that not more than two members of a three-member commission, nor three-members of a five member commission shall be members of the same political party. Declares that it is the sense of the Congress that members of a State Health Commission should be chosen with a view to their ability to bring to the commission highly qualified, effective, and disinterested policy direction. Provides that the Advisory Council to the State Health Commission shall be appointed by the Governor of the State and consist of persons representative of providers and consumers of health care. States that the Council shall consult with the commission in the development and carrying out of the State plan. Requires the State Health Commission of each participating State to conduct a study and survey with a view to the approval of service areas for applicant Health Care Corporations as a basis for the issuance of certificates of approval by the commission, with the objective of affording to all the people in the State equal and ready access to the full range of comprehensive health care of high quality provided for in this title. Provides that a State plan shall make provision for stimulating and encouraging the organization of Health Care Corporations. Authorizes the Secretary to conduct the functions of a State Health Commission through the Department of Health, Education, and Welfare, when such a Commission has not been established in a State under this Act. Provides that the Secretary shall encourage and assist the States and their State Health Commissions in carrying out cooperatively with other States their respective functions, including the making of agreements between States for that purpose with respect to the establishment, admission, and approval of Health Care Corporations, the establishment of joint health care areas and assignment of such corporations thereto, and the exchange of information. Requires the Secretary to develop and encourage the enactment of model State legislation in the fields covered by this title. Defines a Health Care Corporation as a nonprofit private or governmental corporation which is organized for the purpose of furnishing comprehensive and coordinated personal health services to persons registered with the corporation, furnishing personal health services to other persons to the extent authorized by this title, and engaging in educational, research, and other activities incidental or related to the furnishing of personal health services, and which provides effective and equitable representation, on its governing board, of registrants with the corporation and affiliated institutional and professional providers furnishing services on its behalf. Provides that a Health Care Corporation shall assume responsibility for making available and furnishing to each registrant with the corporation all services for which he has Comprehensive Health Care Benefits coverage and which are medically necessary. Provides that services may be provided through an affiliated provider by contract with the Health Care Corporation. Provides that the Corporation shall as rapidly as practicable develop, by affiliation with existing organizations or otherwise, a system of outpatient care centers throughout the approved service area. Provides that a Health Care Corporation shall assume responsibility for the quality of all services furnished by it either through its own facilities and personnel or by providers affiliated or acting under arrangements with it. Provides that a Corporation shall provide an opportunity to all practitioners in an approved service area to furnish services on its behalf, either as members of its professional staff or as affiliated providers. Provides that a Corporation shall develop and keep current a continuing personal health record for each registrant of the corporation. Provides that the corporation shall establish methods by which registrants may express their views with regard to the policies and operation of the corporation, the health needs of the community, and the need for any modification or expansion of the services furnished by the corporation. Provides that in recruitment and registration a Health Care Corporation shall not discriminate on the ground of race, creed, color, national origin, age, sex, occupation, economic status, or condition of health. Provides that the National Health Services Advisory Council shall conduct a full and complete study and investigation of methods of supplying supplemental capital and other funding for Health Care Corporations and related health care organizations in the United States. States that the Council shall give particular consideration to the development of a program which: (1) establishes and utilizes as its basic source of funds a national trust fund; (2) provides for the distribution of amounts in the fund to State health commissions in a manner reflecting population, per capita income, and health care needs; (3) recognizes the need for adequate planning for health care services and facilities; (4) encourages and facilitates the continuing provision of funds for these purposes from sources other than the trust fund; (5) leaves to each State health commission, under general regulations of the Secretary, the determination of how the funds distributed to the commission are to be allocated; and (6) contains or is subject to such other provisions, conditions, and limitations as may be necessary or appropriate to assure that the study will be effectively carried out. Requires the Council, within one year after the effective date of this Act, to submit to the Secretary, for transmission to the Congress, a full and complete report of its study and investigation. Title II: Financing of National Health Services - National Health Care Services Financing Act - Provides, under title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act, that every employer shall be required to provide benefits under this Act equivalent to the hospital insurance benefits available under title XVIII (Health Insurance for the Aged) of the Social Security Act, to provide Catastrophic Expense Benefits coverage and to provide Comprehensive Health Care Benefits covered under this Act, to each of his employees and for the members of the family of each such employee. Provides, under title IX of the Social Security Act, that every individual who is receiving benefits under any Federal or State unemployment compensation law shall be entitled to coverage for benefits under this Act equivalent to the hospital insurance benefits available under title XVIII of the Social Security Act and Catastrophic Expense Benefits coverage and Comprehensive Expense Benefits coverage under this Act. Authorizes the Secretary to contract for or to subsidize Comprehensive Health Care Benefits to elderly and medically indigent individuals, provided, in the latter case, that entitlement to coverage contracted for by the Secretary shall be subject to the condition that the individual or family concerned contributes to the carriers annual premium charge for such coverage. Allows a tax deduction, under the Internal Revenue Code, to an individual for all of the expenses paid during the taxable year for Comprehensive Health Care Benefits coverage under this Act. Provides that a State shall not be required to provide Medicaid payments to the extent that individuals otherwise entitled thereto are covered by this Act. Provides that coverage of a registrant for Comprehensive Health Care Benefits shall entitle the registrant, with listed exceptions, to have the carrier pay the approved predetermined charges of the Health Care Corporation for services and items furnished to him. Provides a table of Comprehensive Health Care Benefits to be covered by this Act. Provides that the Secretary shall submit to Congress recommendations for the expansion of benefits after the program under this Act is in operation, giving special consideration to the expansion of benefits for dental and vision services based on the availability of resources. Sets forth the requirements to be met by carriers for participation in Comprehensive Health Care Benefits under this Act. Title III: Effective Dates - Provides that the program under this Act shall be fully in operation on and after the first day of the fifth fiscal year which begins after the date of the enactment of this Act.
Bill· HRH.R. 5534 (93rd)referred
United States · United States Congress · 13 March 1973
Bill of Rights for the Mentally Retarded - States that the purpose of this Act is to establish standards which assure the humane care, treatment, habilitation, and protection of the mentally retarded in residential facilities, and to improve the system for the provision of services to the mentally retarded through the encouragement of and support for the planning and development of strategies to implement such standards, minimize inappropriate admissions to residential facilities and stimulate the development of regional and community programs integrating such residential facilities which conform to such standards. Provides for a new title to the Public Health Service Act: Title XI: Support of Residential Facilities for the Mentally Retarded - Authorizes the Secretary of Health, Education, and Welfare to make grants to States to aid them with the cost of bringing existing residential facilities into compliance with the standards established under this Act, and to improve existing residential facilities for the mentally retarded. Authorizes to be appropriated $30,000,000 ($15,000,000 for each program) for fiscal year 1973, and for each of the next two succeeding fiscal years, for such grants. Authorizes to be appropriated such sums as may be necessary to enable the Secretary to make grants to States for the purpose of assisting States in meeting the expenses for bringing publicly operated facilities and publicly assisted facilities into conformity with the standards established by this Act. Stipulates that any State desiring to receive such a grant shall submit a plan to the Secretary setting forth a schedule for compliance with such standards. Provides that the total of the grants with respect to any such project bringing facilities into conformity with the standards imposed by this Act may not exceed 75 percent of the necessary cost thereof as determined by the Secretary. Requires, within five years after the date of enactment of this Act, that no residential facility for the mentally retarded shall be eligible to receive payments either directly or indirectly under any Federal law, unless such facility meets the standards promulgated under this Act. Authorizes the Secretary to make grants to any public or private non-profit agency, organization or institution to meet the costs of development, improvement, extension, or expansion of community resources and community living situations for the mentally retarded other than live-in-residential facilities for the mentally retarded. Establishes a National Advisory Council on Standards for Residential Facilities for the Mentally Retarded to: (1) advise the Secretary with respect to any regulations promulgated or proposed in the implementation of the standards established under this Act; (2) study and evaluate such standards authorized by this Act; and (3) recommend to the Secretary any changes, revisions, modifications, or improvements in the standards established under this Act. Provides that the ultimate aim of the residential facility shall be to foster those behaviors that maximize the human qualities of the resident, increase the complexity of his behavior, and enhance his ability to cope with his environment. Requires such facilities to be located within, and conveniently accessible to, the population served, so as to have access to necessary generic community services. Provides that the facility and the surrounding community should be encouraged to share their services and resources on a reciprocal basis. Provides that residents of the facility should be integrated to the greatest possible extent with the general population. Provides that the facility shall have a written outline of the philosophy, objectives, and goals it is striving to achieve. Requires such outline to be available for distribution to staff, consumer representatives, and the interested public. Provides that the governing body of the facility shall exercise general direction and shall establish policies concerning the operation of the individuals served. Provides that the administration of the facility shall provide for effective staff and resident participation and communication. Requires the facility to designate a percentage of its operating budget for self-renewal purposes. Provides that the facility shall have a description of services for residents that is available to the public. Provides that the facility shall provide for meaningful and extensive consumer-representative and public participation. Provides that a public education and information program should be established that utilizes all communication media, and all service, religious and civil groups, to develop attitudes of understanding and acceptance of mentally retarded persons in all aspects of community living. Provides that admission and release procedures shall: (1) encourage voluntary admission; (2) give equal priority to persons of comparable need; (3) facilitate emergency, partial, and short-term residential care; and (4) utilize the maximum feasible amount of voluntariness in each individual case. Authorizes the residential facility to admit only residents who have had a comprehensive evaluation. Provides that all admissions to the residential facility shall be considered temporary. Provides that there shall be a regular, at least annual, joint review of the status of each resident by all relevant personnel. Provides that at the time of permanent release or transfer there shall be recorded a summary of findings, progress, and plans for protective supervision and other followup services in the resident's new environment. Provides that the performance of each employee of the facility shall be evaluated at least annually. Provides that staffing shall be sufficient so that the facility is not dependent upon the use of residents or volunteers for productive services. Provides that food services shall recognize and provide for the physiological, emotional, and cultural needs of each resident, through provision of a planned, nutritionally adequate diet. Provides that each resident shall have an adequate allowance of neat, clean, fashionable, and seasonable clothing. Provides that residents shall be trained to exercise maximum independence in health, hygiene, and grooming practices. Provides that living unit components or groupings shall be small enough to insure the development of meaningful interpersonal relationships among residents and between residents and staff. Requires dental services to be provided all residents in order to maximize their general health by maintaining an optimal level of daily oral health, through preventive measures and correcting existing oral diseases. Provides that educational services, defined as deliberate attempts to facilitate the intellectual, sensorimotor, and affective development of the individual, shall be available to all residents, regardless of chronological age, degree of retardation, or accompanying disabilities or handicaps. Provides that food and nutrition services shall be provided in order to: (1) insure optimal nutritional status of each resident, thereby enhancing his physical, emotional, and social well-being; and (2) provide a nutritionally adequate diet, in a form consistent with developmental level, to meet the dietary needs of each resident. Makes library services, which include the location, acquisition, organization, utilization, retrieval, and delivery of materials in a variety of media, available to the facility, in order to support and strengthen its total habilitation program by providing complete and integrated multimedia information services to both staff and residents. Provides that medical services shall be provided in order to: (1) achieve and maintain an optimal level of general health for each resident; (2) maximize normal function and prevent disability; and (3) facilitate the optimal development of each resident. Provides that residents shall be provided with nursing services, in accordance with their needs, in order to: (1) develop and maintain an environment that will meet their total health needs; (2) foster optimal health; (3) encourage maximum self-care and independence; and (4) provide skilled nursing care. Provides that, where appropriate to the facility, there shall be a pharmacy and therapeutics committee, that includes one or more pharmacists, to develop policy on drug usage in the facility, and to develop and maintain a current formulary. Provides that physical and occupational therapy services shall be provided in order to: (1) prevent abnormal development and further disability; (2) facilitate the optimal development of each resident; and (3) enable the resident to be a contributing and participating member of the community in which he resides. Requires psychological services be provided in order to facilitate, through the application of psychological principles, techniques, and skills, the optimal development of each resident. Provides that recreation services should provide each resident with a program of activities that: (1) promotes physical and mental health; (2) promotes optimal sensorimotor, cognitive, affective, and social development; (3) encourages movement from dependent to independent and interdependent functioning; and (4) provides for the enjoyable use of leisure time. Make religious services available to residents, in accorance with their basic right to freedom of religion. Provides that all social services shall be available to all residents and their families in order to foster and facilitate: (1) maximum personal and social development of the resident; (2) positive family functioning; and (3) effective and satisfying social and community relationships. Provides that speech pathology and audiology services shall be available, in order to: (1) maximize the communications skills of all residents; and (2) provide for the evaluation, counseling, treatment, and rehabilitation of those residents with speech, hearing and/or language handicaps. Requires each facility to provide all its residents with rehabilitation services, which include the establishment, maintenance, and implementation of those programs that will ensure the optimal development or restoration of each resident physically, psychologically, socially and vocationally. Provides that volunteer services shall be provided in order to enhance opportunities for the fullest realization of the potential of each resident by: (1) increasing the amount, and improving the quality, of services and programs; and (2) facilitating positive relationships between the facility and the community which it serves. Provides that a record shall be maintained for each resident that is adequate for: (1) planning and continuous evaluating of the resident's habitation program; (2) providing a means of communication among all persons contributing to the resident's habilitation program; (3) furnishing documentary evidence of the resident's progress and of his response to his habilitation program; (4) serving as a basis for review, study, and evaluation of the overall programs provided by the facility for its residents; (5) protecting the legal rights of the residents, facility, and staff; and (6) providing data for use in research and education. Provides that the administration of the facility shall make provision for the design and conduct, or the supervision, of research that will objectively evaluate the effectiveness of program components and contribute to informed decisionmaking in the facility. Provides that the requirements of the Secretary shall be met, with specific reference to the following: (1) provision of adequate and alternate exits and doors; (2) provision of exit ramps, with nonskid surface and slope not exceeding one foot in twelve; and (3) provision for handrails on stairways. Provides that there shall be records that document strict compliance with the sanitation, health, and environmental safety codes of the State or local authorities having primary jurisdiction over the facility. Provides that adequate, modern administrative support shall be provided to efficiently meet the needs of, and contribute to, program services for residents, and to facilitate attainment of the goals and objectives of the facility. Provides that funds shall be budgeted and spent in accordance with the principles and procedures of program budgeting. Provides that there shall be written purchasing policies regarding authority and approvals for supplies, services, and equipment.
Bill· HRH.R. 5493 (93rd)referred
United States · United States Congress · 13 March 1973
Increases the contribution of the Federal Government to the costs of health benefits to Federal employees. Provides that the Civil Service Commission shall determine the average of the subscription charges in effect on the beginning date of each contract year with respect to self alone or self and family enrollment as applicable for the highest level of health benefits offered by the service benefit plan, the indemnity benefit plan, the two employee organization plans with the largest number of enrollments and the two comprehensive medical plans with the largest number of enrollments. Provides that, except as otherwise stated in this Act, the biweekly government contribution for health benefits for an employee enrolled in a health plan under this chapter shall be adjusted to an amount equal to the following percentage of the average subscription charge: 55 percent during 1973; 60 percent during 1974; 65 percent during 1975; 70 percent during 1976; and 75 percent during 1977, and each year thereafter. Permits an annuitant who is participating or who is eligible to participate in the health benefit program offered under the Retired Federal Employees Health Benefit Act, to elect coverage instead under the Government Employees Health Insurance Program established by the United States Civil Service Commission. Defines "member of family," for purposes of Federal health insurance, to mean the spouse of an employee or annuitant and an unmarried child under 22 years of age including an adopted child and a stepchild, foster child or recognized natural child who lives with the employee or annuitant or such an unmarried child regardless of age who is a student pursuing a full-time course of study or is incapable of self-support because of mental or physical disability. Provides that each contract with a carrier for a health plan shall require the carrier to agree to pay for a health service or supply in an individual case if the Commission finds that the employee, annuitant, or family member is entitled thereto under the terms of the contract. Makes the rates of Government contribution determined by this Act applicable to the U.S. Postal Service and its officers and employees. (Amends 5 U.S.C. 8906(a),(b); 8901(5), 8902(j))
Bill· HRH.R. 5535 (93rd)referred
United States · United States Congress · 13 March 1973
Bill of Rights for the Mentally Retarded - States that the purpose of this Act is to establish standards which assure the humane care, treatment, habilitation, and protection of the mentally retarded in residential facilities, and to improve the system for the provision of services to the mentally retarded through the encouragement of and support for the planning and development of strategies to implement such standards, minimize inappropriate admissions to residential facilities and stimulate the development of regional and community programs integrating such residential facilities which conform to such standards. Provides for a new title to the Public Health Service Act: Title XI: Support of Residential Facilities for the Mentally Retarded - Authorizes the Secretary of Health, Education, and Welfare to make grants to States to aid them with the cost of bringing existing residential facilities into compliance with the standards established under this Act, and to improve existing residential facilities for the mentally retarded. Authorizes to be appropriated $30,000,000 ($15,000,000 for each program) for fiscal year 1973, and for each of the next two succeeding fiscal years, for such grants. Authorizes to be appropriated such sums as may be necessary to enable the Secretary to make grants to States for the purpose of assisting States in meeting the expenses for bringing publicly operated facilities and publicly assisted facilities into conformity with the standards established by this Act. Stipulates that any State desiring to receive such a grant shall submit a plan to the Secretary setting forth a schedule for compliance with such standards. Provides that the total of the grants with respect to any such project bringing facilities into conformity with the standards imposed by this Act may not exceed 75 percent of the necessary cost thereof as determined by the Secretary. Requires, within five years after the date of enactment of this Act, that no residential facility for the mentally retarded shall be eligible to receive payments either directly or indirectly under any Federal law, unless such facility meets the standards promulgated under this Act. Authorizes the Secretary to make grants to any public or private non-profit agency, organization or institution to meet the costs of development, improvement, extension, or expansion of community resources and community living situations for the mentally retarded other than live-in-residential facilities for the mentally retarded. Establishes a National Advisory Council on Standards for Residential Facilities for the Mentally Retarded to: (1) advise the Secretary with respect to any regulations promulgated or proposed in the implementation of the standards established under this Act; (2) study and evaluate such standards authorized by this Act; and (3) recommend to the Secretary any changes, revisions, modifications, or improvements in the standards established under this Act. Provides that the ultimate aim of the residential facility shall be to foster those behaviors that maximize the human qualities of the resident, increase the complexity of his behavior, and enhance his ability to cope with his environment. Requires such facilities to be located within, and conveniently accessible to, the population served, so as to have access to necessary generic community services. Provides that the facility and the surrounding community should be encouraged to share their services and resources on a reciprocal basis. Provides that residents of the facility should be integrated to the greatest possible extent with the general population. Provides that the facility shall have a written outline of the philosophy, objectives, and goals it is striving to achieve. Requires such outline to be available for distribution to staff, consumer representatives, and the interested public. Provides that the governing body of the facility shall exercise general direction and shall establish policies concerning the operation of the individuals served. Provides that the administration of the facility shall provide for effective staff and resident participation and communication. Requires the facility to designate a percentage of its operating budget for self-renewal purposes. Provides that the facility shall have a description of services for residents that is available to the public. Provides that the facility shall provide for meaningful and extensive consumer-representative and public participation. Provides that a public education and information program should be established that utilizes all communication media, and all service, religious and civil groups, to develop attitudes of understanding and acceptance of mentally retarded persons in all aspects of community living. Provides that admission and release procedures shall: (1) encourage voluntary admission; (2) give equal priority to persons of comparable need; (3) facilitate emergency, partial, and short-term residential care; and (4) utilize the maximum feasible amount of voluntariness in each individual case. Authorizes the residential facility to admit only residents who have had a comprehensive evaluation. Provides that all admissions to the residential facility shall be considered temporary. Provides that there shall be a regular, at least annual, joint review of the status of each resident by all relevant personnel. Provides that at the time of permanent release or transfer there shall be recorded a summary of findings, progress, and plans for protective supervision and other followup services in the resident's new environment. Provides that the performance of each employee of the facility shall be evaluated at least annually. Provides that staffing shall be sufficient so that the facility is not dependent upon the use of residents or volunteers for productive services. Provides that food services shall recognize and provide for the physiological, emotional, and cultural needs of each resident, through provision of a planned, nutritionally adequate diet. Provides that each resident shall have an adequate allowance of neat, clean, fashionable, and seasonable clothing. Provides that residents shall be trained to exercise maximum independence in health, hygiene, and grooming practices. Provides that living unit components or groupings shall be small enough to insure the development of meaningful interpersonal relationships among residents and between residents and staff. Requires dental services to be provided all residents in order to maximize their general health by maintaining an optimal level of daily oral health, through preventive measures and correcting existing oral diseases. Provides that educational services, defined as deliberate attempts to facilitate the intellectual, sensorimotor, and affective development of the individual, shall be available to all residents, regardless of chronological age, degree of retardation, or accompanying disabilities or handicaps. Provides that food and nutrition services shall be provided in order to: (1) insure optimal nutritional status of each resident, thereby enhancing his physical, emotional, and social well-being; and (2) provide a nutritionally adequate diet, in a form consistent with developmental level, to meet the dietary needs of each resident. Makes library services, which include the location, acquisition, organization, utilization, retrieval, and delivery of materials in a variety of media, available to the facility, in order to support and strengthen its total habilitation program by providing complete and integrated multimedia information services to both staff and residents. Provides that medical services shall be provided in order to: (1) achieve and maintain an optimal level of general health for each resident; (2) maximize normal function and prevent disability; and (3) facilitate the optimal development of each resident. Provides that residents shall be provided with nursing services, in accordance with their needs, in order to: (1) develop and maintain an environment that will meet their total health needs; (2) foster optimal health; (3) encourage maximum self-care and independence; and (4) provide skilled nursing care. Provides that, where appropriate to the facility, there shall be a pharmacy and therapeutics committee, that includes one or more pharmacists, to develop policy on drug usage in the facility, and to develop and maintain a current formulary. Provides that physical and occupational therapy services shall be provided in order to: (1) prevent abnormal development and further disability; (2) facilitate the optimal development of each resident; and (3) enable the resident to be a contributing and participating member of the community in which he resides. Requires psychological services be provided in order to facilitate, through the application of psychological principles, techniques, and skills, the optimal development of each resident. Provides that recreation services should provide each resident with a program of activities that: (1) promotes physical and mental health; (2) promotes optimal sensorimotor, cognitive, affective, and social development; (3) encourages movement from dependent to independent and interdependent functioning; and (4) provides for the enjoyable use of leisure time. Make religious services available to residents, in accorance with their basic right to freedom of religion. Provides that all social services shall be available to all residents and their families in order to foster and facilitate: (1) maximum personal and social development of the resident; (2) positive family functioning; and (3) effective and satisfying social and community relationships. Provides that speech pathology and audiology services shall be available, in order to: (1) maximize the communications skills of all residents; and (2) provide for the evaluation, counseling, treatment, and rehabilitation of those residents with speech, hearing and/or language handicaps. Requires each facility to provide all its residents with rehabilitation services, which include the establishment, maintenance, and implementation of those programs that will ensure the optimal development or restoration of each resident physically, psychologically, socially and vocationally. Provides that volunteer services shall be provided in order to enhance opportunities for the fullest realization of the potential of each resident by: (1) increasing the amount, and improving the quality, of services and programs; and (2) facilitating positive relationships between the facility and the community which it serves. Provides that a record shall be maintained for each resident that is adequate for: (1) planning and continuous evaluating of the resident's habitation program; (2) providing a means of communication among all persons contributing to the resident's habilitation program; (3) furnishing documentary evidence of the resident's progress and of his response to his habilitation program; (4) serving as a basis for review, study, and evaluation of the overall programs provided by the facility for its residents; (5) protecting the legal rights of the residents, facility, and staff; and (6) providing data for use in research and education. Provides that the administration of the facility shall make provision for the design and conduct, or the supervision, of research that will objectively evaluate the effectiveness of program components and contribute to informed decisionmaking in the facility. Provides that the requirements of the Secretary shall be met, with specific reference to the following: (1) provision of adequate and alternate exits and doors; (2) provision of exit ramps, with nonskid surface and slope not exceeding one foot in twelve; and (3) provision for handrails on stairways. Provides that there shall be records that document strict compliance with the sanitation, health, and environmental safety codes of the State or local authorities having primary jurisdiction over the facility. Provides that adequate, modern administrative support shall be provided to efficiently meet the needs of, and contribute to, program services for residents, and to facilitate attainment of the goals and objectives of the facility. Provides that funds shall be budgeted and spent in accordance with the principles and procedures of program budgeting. Provides that there shall be written purchasing policies regarding authority and approvals for supplies, services, and equipment.
Bill· HRH.R. 5556 (93rd)referred
United States · United States Congress · 13 March 1973
Mental Health Act - Title I: Mental Health Benefits - Provides that every individual who is a resident of the United States, or who is a nonresident citizen of the United States, shall be eligible to receive the benefits provided by this title. Lists the mental health services covered by this Act and provides that benefits under this Act shall consist of entitlement to have payment made on his behalf, without limit as to duration except as otherwise specifically indicated. Sets forth qualifications of psychiatric hospitals for participation in the program under this title, including that it provide active diagnostic, therapeutic, and rehabilitative services with respect to mental illness, and that it is accredited by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary of Health, Education, and Welfare to periodically determine the amount which should be paid under this title to each provider of care and services with respect to the care and services furnished by it. Provides that no payments may be made under title XVIII (Medicare) of the Social Security Act, under any State plan approved under title XIX (Medicaid) of such Act, or under any other Federal law or program, with respect to any care or services for which payment is made under this title. Provides that the program under this title shall be administered by the Secretary with the advice and assistance of a Committee on Mental Health which shall be appointed by the Secretary. Provides that the Committee shall be specifically responsible under the direction of the Secretary for the approval of all providers of care and services for participation in the program under this title and for the establishment of the guidelines and qualifications to be applied to any of such providers not affiliated with any specific psychiatric hospital. Directs the Secretary to conduct a full and complete study of the costs of providing mental health insurance under various conditions and with varying specifications, in order to determine the feasibility of establishing a national program providing such insurance, or expanding the program under this title. Requires the Secretary to submit to the President and the Congress a report on the results of such study together with his recommendations. Creates a Federal Mental Health Trust Fund in the Treasury of the United States, and creates a Board of Trustees to govern the operation of the fund. Authorizes appropriations to the trust fund for fiscal year 1975, and for each fiscal year thereafter, in an amount equal to 100 percent of the taxes imposed, under the Internal Revenue Code, from the provisions of title II of this Act. Provides that the trust fund shall be available to the Secretary for the payment of benefits under this title. Provides that the Secretary shall submit annually to the President and to the Congress a full report on the program under this title, including his recommendations for any improvements or modifications therein. Title II: Mental Health Taxes - Imposes a mental health tax, under the Internal Revenue Code, on the income of every individual equal to 0.16 percent of so much of the wages received by him in any calendar year with respect to employment as exceeds the sum of $6,500,plus one-half of the amount by which the regular contribution base for such year exceeds $9,000. (Amends 26 U.S.C. 3101) Imposes on every employer an excise tax, with respect to having individuals in his employ, equal to 0.52 percent of the wages paid by such employer in any calendar year beginning on or after the effective date of the mental health taxes with respect to employment. (Amends 26 U.S.C. 3111) Imposes for each taxable year on the self-employment income of every individual a tax equal to 0.38 percent of so much of the self-employment income for such taxable year as exceeds the sum of $6,500 plus one-half of the amount by which the regular contribution base for such year exceeds $9,000. (Amends 26 U.S.C. 1401) Imposes for each taxable year beginning on or after the effective date of the mental health taxes, on the income of every individual residing in the United States whose mental health unearned income for the taxable year is $400 or more, a tax equal to 0.16 percent of the amount of such mental health unearned income for such taxable year. (Amends 26 U.S.C. 1403, 1404) Makes amendments to the Internal Revenue Code to conform with the above provisions.
Bill· HRH.R. 5483 (93rd)referred
United States · United States Congress · 13 March 1973
Provides that former commissioned officers of the Public Health Service who acquired competitive civil service status and transferred to classified positions in the Federal Water Pollution Control Administration shall be credited with one hour of sick leave for each week of active service, if the crediting of sick leave under this Act will provide such former officer with sick leave credit in an amount greater than the amount of sick leave credit which he received under the Water Quality Act.
Bill· HRH.R. 5465 (93rd)referred
United States · United States Congress · 12 March 1973
Provides that the existing requirement under title XIX of the Social Security Act (Grants to States for Medical Assistance Programs) that all medicaid patients be given free choice in the selection of the doctors and health facilities by which they are to be treated shall not apply (except in the case of individuals with severe chronic disability) in cities or other political subdivisions where the services involved are being effectively provided through locally operated public health centers. (Amends 42 U.S.C. 1397)
Law· SS. 1125 (93rd)open
United States · United States Congress · 8 March 1973
Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act Amendments - Title I: Coordination, and Personnel - Provides that the Secretary of Health, Education, and Welfare, acting through the National Institute on Alcohol Abuse and Alcoholism, shall coordinate efforts, in carrying out the purposes of all other Federal health, welfare, rehabilitation, highway safety, law enforcement and economic opportunity legislation, to deal with alcohol abuse and alcoholism. Provides that the Director of the Institute may employ and prescribe the functions of such officers and employees, including attorneys, as are necessary to administer the programs and authorities under the Act. Title II: Federal Assistance for State and Local Programs - Authorizes further appro- priations for grants to States under the Act of $100,000,000 for fiscal year 1974, $100,000,000 for fiscal year 1975, and $100,000,000 for fiscal year 1976. Provides that State plans for assistance under the Act must set forth standards for construction and licensing of public and private treatment facilities, as well as standards for other community services or resources available to assist individuals to meet problems resulting from alcohol abuse. Provides that the Secretary acting through the Institute is authorized to make grants to the states for the implementation of the Uniform Alcoholism and Intoxication Treatment Act. Transfers all authorities pertaining to alcohol abuse and alcoholism under the Community Mental Health Centers Act to the authority authorized under the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act. Provides that grants under the Community Mental Health Centers Act for the construction of facilities for the prevention and treatment of alcoholism shall be approved in accordance with plans setting forth: (1) a description of the site of the project; (2) plans and specifications therefor in accordance with the regulations prescribed by the Secretary for general standards of construction and equipment for facilities of different classes and different types of locations; and (3) reasonable assurance that all laborers and mechanics employed by contractors or subcontractors of the project will be paid wages at rates not less than those prevailing on similar construction in the locality as determined by the Secretary of Labor in accordance with the Davis-Bacon Act. Removes the requirement under the Act that grants for specialized facilities may be made only to facilities which are a part of or affiliated with a Community Mental Health Center providing at least those essential elements of comprehensive community mental health services which are prescribed by the Secretary. Authorizes to be appropriated to carry out part B of the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act, $100,000,000 for fiscal year 1974, 120,000,000 for fiscal year 1975, and 120,000,000 for fiscal year 1976. Authorizes to be appropriated for fiscal year 1974, and each of the next nine fiscal years such sums as may be necessary to continue to make grants for staffing with respect to sections under such part for which a staffing grant was made from appropriations under the above for any fiscal year ending before July 1, 1976. Removes the compulsory suspension of Federal financial assistance, under the Act, to private and public hospitals for refusing to admit or treat alcoholics.