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Bill· SS. 366 (101st)referred
United States · United States Congress · 7 February 1989
Rural Health Manpower Assistance Act of 1989 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to increase incentive payments by five percent for physicians who provide primary care services in rural areas. Directs the Secretary of Health and Human Services to enter into agreements with from five to ten hospitals for the conduct of three-year demonstration projects providing instruction and consultation to rural physicians. Sets forth reporting requirements. Authorizes appropriations for such projects. Requires the Secretary to conduct a study and submit a report to the Senate Committee on Finance by October 1, 1989, assessing the supply of rural health workers.
Law· SJRESS.J.Res. 55 (101st)enacted
United States · United States Congress · 7 February 1989
Designates the week beginning on October 1, 1989, and ending October 7, 1989, as Mental Illness Awareness Week.
Bill· SJRESS.J.Res. 51 (101st)referred
United States · United States Congress · 7 February 1989
Designates the month of April 1989 as National Cancer Awareness Month.
Law· HRH.R. 901 (101st)enacted
United States · United States Congress · 7 February 1989
Veterans' Health-Care Programs Amendments of 1989 - Title I: Personnel Provisions - Directs the Secretary of Veterans Affairs to provide special pay for nurses (as is currently provided to physicians and dentists) in a specified amount (depending on full- or part-time employment) upon the execution of a written agreement to complete a specified period of service with the Veterans Health Services and Research Administration of the Department of Veterans Affairs. Directs the Secretary, in addition to such special pay, to provide incentive special pay to Department nurses for: (1) tenure of service within the Administration of two years or more but less than five years; (2) tenure of service within the Administration of five years or more: (3) service in intensive care units, critical care units, emergency rooms, operating rooms, or in nursing specialties for which recruitment and retention of qualified nurses is difficult; (4) service in a specific geographic location in which it is especially difficult to recruit and retain qualified nurses; and (5) service in a head nurse position. Directs the Secretary to provide such incentive special pay, under the same criteria, for eligible part-time nurses employed in the Administration. Provides that the agreement required for the payment of special pay may only be entered into if the nurse is a registered nurse and an employee of the Administration whose duty assignments involve direct patient care. Provides specified amounts (per annum) of such special incentive pay for qualified nurses within the Administration. Extends premium pay for nurses for work performed during certain hours or for overtime work to licensed practical or vocational nurses and nurse assistants of the Administration. Excludes Administration employees appointed and paid under general Federal provisions governing appointments in the competitive service from any Federal veterans' benefits provisions limiting employment outside of the Department. Includes nurses who are retired military personnel and who are necessary to meet emergency employment needs in the category of Administration personnel who are exempt from reductions in retirement pay under Federal provisions regarding pay administration in the competitive service. Authorizes the Secretary, upon the recommendation of the Chief Medical Director of the Department, to appoint qualified individuals in the competitive civil service to the Administration without regard to Federal provisions regarding examination, certification, and appointment in the competitive service. Requires the Secretary to apply the principles of preference for hiring established under such Federal provisions. Title II: Health Program Amendments - Extends permanently the authority of the Secretary to provide respite care services to eligible veterans. (Currently, such authority expires as of the end of FY 1989.) Extends through FY 1992 the authority for the making of grants to States for the construction of State nursing home facilities. Amends the Veterans' Home Loan Program Improvements and Property Rehabilitation Act of 1987 to convey to employers who employ veterans participating in a compensated work therapy program real property and improvements for not less than 75 percent of the fair market value of such property. Rescinds a Department medical regulation relating to the use of community nursing home facilities. Title III: Health-Care Management - Directs the Secretary, during FY 1990 and 1991, to carry out a pilot program in one medical region of the Administration for an improved management system for amounts payable to the United States from programs administered by the Administration. Requires the Secretary to develop an automated program to carry out billing and collection of fees. Sets forth the requirements of such program and the allocation of amounts received by the Department through such program. Provides that the amounts retained and allocated shall be used for: (1) pay and other personnel benefits to enhance the recruitment and retention of Administration health-care employees; and (2) the supplementing of medical equipment accounts of medical centers at which such accounts are deficient. Authorizes appropriations. Makes military dependents who are eligible for medical care under Federal armed forces provisions eligible for health care under sharing agreements for health-care resources between the Department and the Department of Defense. Requires the Secretary, by October 1, 1989, to compile a list of individuals eligible for medical care under veterans' benefits provisions relating to survivors and dependents of certain veterans. Provides that the Secretary may pay benefits only to persons on such list. Directs the Secretary, no later than October 1, 1989, to establish a procedure for the periodic review of the need for, and the cost-effectiveness of, such medical care. Requires the Inspector General of the Department to report to the Senate and House veterans' committees on the Secretary's compliance with the establishment of such list and the procedures of such review. Directs the Secretary to study alternative methods for providing for the costs of such medical care and to report such study to the Congress. Authorizes appropriations. Prohibits the Department canteen service from contracting for the performance by any individual not employed by the United States of any activity that would otherwise be performed by an individual employed by the United States who is compensated with nonappropriated funds. Declares that the head of such service may not be required to report to any Department official other than the Secretary and the Deputy Secretary.
Bill· HRH.R. 885 (101st)referred
United States · United States Congress · 7 February 1989
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to limit the late enrollment penalty to a ten percent increase in the monthly part B premium due over a period equal to twice the number of years that the part B beneficiary could have been but was not enrolled under part B.
Bill· HRH.R. 880 (101st)referred
United States · United States Congress · 7 February 1989
Amends title XVIII (Medicare) of the Social Security Act to require that by April 1, 1989, both the Secretary of Health and Human Services and the Prospective Payment Assessment Commission submit a report to the Congress recommending a methodology for eliminating the differences in average standardized Medicare payments to large urban, other urban, and rural hospitals by October 1, 1991. Directs the Congressional Budget Office (CBO) to submit an analysis of such reports to the Congress by May 1, 1989. Requires the Secretary to promulgate final regulations by August 30, 1989, for the implementation of such recommendations. Makes such regulations effective beginning on October 1, 1989, unless the Congress enacts legislation regarding such payments before such date. Requires that by April 1, 1990, both the Secretary and the Commission submit a report to the Congress specifying the manner in which average standardized payments to hospitals should be adjusted to reflect legitimate differences in operating costs for different categories of hospitals. Directs the CBO to submit an analysis of such reports to the Congress by May 1, 1990. Requires the Secretary to promulgate final regulations by August 30, 1991, for the implementation of such recommendations. Makes such regulations effective beginning on October 1, 1991, unless the Congress enacts legislation regarding such payments before such date.
Law· HJRESH.J.Res. 133 (101st)enacted
United States · United States Congress · 7 February 1989
Designates the week beginning September 17, 1989, as Emergency Medical Services Week.
Bill· HRH.R. 857 (101st)referred
United States · United States Congress · 6 February 1989
Reproductive Health Equity Act - Amends title XIX (Medicaid) of the Social Security Act, the Indian Health Care Improvement Act, the Peace Corps Act, the District of Columbia Self-Government and Governmental Reorganization Act, and other Federal laws covering armed forces personnel and dependents, certain veterans, Federal employees' health benefits, and Federal penal and correctional institutions to provide that services related to abortion be made available in the same manner as are other pregnancy-related services under federally-funded programs. Repeals provisions of the Indian Health Care Improvement Act requiring submission of a resource allocation plan to the Congress by December 17, 1981.
Bill· HRH.R. 854 (101st)referred
United States · United States Congress · 6 February 1989
Medicaid Community and Facility Habilitation Services Amendments of 1989 - Title I: Community Habilitation and Supportive Services - Amends title XIX (Medicaid) of the Social Security Act to authorize States to cover community habilitation and supportive services for individuals with mental retardation or related conditions without regard to whether or not such individuals have been discharged from a nursing or habilitation facility. Defines community habilitation and supportive services as services which assist individuals in developing and maintaining the skills necessary to function successfully in a home or community-based setting. Requires that community habilitation and supportive services be provided to each client in accordance with an individual service plan prepared and periodically reviewed and revised by an interdisciplinary team on the basis of a comprehensive functional assessment of a client's needs conducted before his or her receipt of services and at least annually thereafter. Requires that such services meet minimum requirements, to be developed by the Secretary of Health and Human Services, regarding client rights and service quality. Makes the requirements imposed on habilitation facilities (under title II of this Act) regarding patient's rights and facility safety and sanitation applicable to residential settings in which community habilitation and supportive services are provided. Requires that residential settings: (1) disclose persons having an ownership or control interest in the setting; and (2) exclude a person from such interest if he or she has been excluded from the Medicaid program or had an interest in a residential setting repeatedly found to have provided substandard care. Requires a habilitation facility which converts to a residential setting to continue to provide continuous active treatment to residents who required such treatment at the time of conversion. Requires a residential setting to document a client's receipt of medical services. Makes the: (1) Secretary responsible for certifying that State providers of community habilitation and supportive services and residential settings in which such services are provided comply with Medicaid requirements; and (2) States responsible for certifying that other providers of and residential settings for such services comply with Medicaid requirements. Requires each State to: (1) conduct periodic educational programs for the staff and clients in residential settings for community habilitation and supportive services regarding requirements imposed on such setting; and (2) provide, through the State agency responsible for the certification of such providers and residential settings, for the receipt, review, and investigation of allegations of client neglect and abuse and of misappropriation of client property by providers. Requires that such providers and settings be certified annually. Bases residential setting certification on an annual, unannounced survey. Directs the Secretary to: (1) develop a protocol for conducting surveys; and (2) conduct sample surveys of residential settings, within two months of State surveys, to test the adequacy of State surveys. Authorizes the Secretary to conduct a special survey of a setting or a review of the provider when there is reason to question its compliance with this Act. Prohibits the use of surveyors who have an interest in the provider or setting being surveyed or have not completed a training and testing program approved by the Secretary. Requires States and the Secretary to investigate complaints against providers or settings concerning violations of this Act's requirements. Requires that: (1) certain information regarding providers and settings and their compliance with this Act's requirements be made available to the public; and (2) the State agency responsible for the protection and advocacy system for the developmentally disabled and the guardians of clients be notified of a provider's or setting's noncompliance with this Act's requirements. Gives State Medicaid fraud and abuse control units access to provider or setting survey and certification information. Requires that when the Secretary or State determines that a provider's or setting's deficiencies immediately jeopardize the client's health and safety, immediate action be taken to remove the jeopardy and correct the deficiencies or the provider's or setting's participation in Medicaid be terminated. Directs the Secretary and States to apply certain other remedies where the health and safety of clients are not immediately jeopardized. Requires the imposition of civil money penalties against providers and settings which are, or are found to have been, out of compliance with any of this Act's requirements. Sets forth the Secretary's responsibilities relating to community habilitation and supportive service requirements. Eliminates the restriction of the Medicaid waiver for community habilitation services to individuals who have been discharged from a skilled nursing or intermediate care facility. Directs the Secretary to report to the Congress annually on the extent to which providers and residential settings are complying with this Act's requirements and the number and type of enforcement actions taken by the Secretary and the States. Title II: Quality Assurance for Habilitation Facility Services - Defines a "habilitation facility" as an institution primarily engaged in providing health or habilitation services to individuals with mental retardation or related conditions and not primarily for the care and treatment of mental diseases. Sets forth requirements for habilitation facilities, including requirements that such facilities: (1) promote maintenance or enhancement of the quality of life, independence, productivity, and integration into the community of each client; (2) provide continuous active treatment which is coordinated and monitored by a qualified mental retardation professional; (3) provide such treatment in accordance with an individual program plan prepared and periodically reviewed and revised by an interdisciplinary team of professionals on the basis of an assessment of a client's developmental and behavioral management needs conducted upon the client's admission and at least annually thereafter; (4) not admit any new client with mental retardation or a related condition on or after January 1, 1991, unless the State mental retardation or developmental disability authority has determined on the basis of an evaluation performed independently of the facility that the individual requires habilitation facility services; (5) provide physician services 24 hours a day, annual physical examinations, licensed nursing services, comprehensive dental diagnostic and treatment services, routine and emergency drugs and biologicals, professional program services to implement each client's active treatment plan, and meal services; (6) require a physician's supervision of each patient's care, have a physician available to furnish emergency medical care, and maintain clinical records on all clients; (7) protect specified client rights, including the right to appeal a transfer or discharge and receive post-discharge preparation and planning services; (8) provide applicants and residents with information regarding the Medicaid program and not require applicants to waive their rights to such benefits or have a third party guarantee payment to the facility as a condition of their admission; (9) protect a client's personal funds upon the client's authorization and teach clients to manage their funds to the extent of their capabilities; (10) adopt certain measures to preserve facility safety and sanitation; and (11) meet such other conditions which the Secretary of Health and Human Services deems necessary for client health and safety. Sets forth the Secretary's responsibilities relating to habilitation facility requirements. Makes the Secretary responsible for certifying that State habilitation facilities comply, and States responsible for certifying that other habilitation facilities comply, with Medicaid habilitation facility requirements. Requires each State to: (1) conduct periodic educational programs for habilitation facility staff and clients regarding the requirements imposed on such facilities; and (2) provide, through the State agency responsible for the certification of habilitation facilities, for the receipt, review, and investigation of allegations of client neglect and abuse and of misappropriation of client property by facility staff. Bases habilitation facility certification on an annual, unannounced survey. Directs the Secretary to: (1) develop and test a protocol for conducting surveys; (2) establish minimum qualifications for surveyors and train them in survey and certification techniques; and (3) conduct sample surveys of habilitation facilities, within two months of State surveys, to test the adequacy of State surveys, and reduce Federal payments for State Medicaid administrative costs if such State surveys prove inadequate. Authorizes the Secretary to conduct a special survey of a facility when there is reason to question its compliance with this Act. Requires States and the Secretary to investigate complaints against a facility and monitor the compliance of a facility with this Act's requirements if the facility was previously found out of compliance or the State or Secretary has reason to question its compliance. Requires that: (1) certain information regarding habilitation facilities and their compliance with this Act's requirements be made available to the public; (2) the State agency responsible for the protection and advocacy system for the developmentally disabled and the guardians of facility clients be notified of a facility's noncompliance with this Act's requirements; and (3) survey results be posted in a place that is readily assessible to clients. Gives State Medicaid fraud and abuse control units access to facility survey and certification information. Requires that when the Secretary or a State determines that a habilitation facility's deficiencies immediately jeopardize residents' health and safety, immediate action be taken to remove the jeopardy and correct the deficiencies or such facility's participation in Medicaid be terminated. Directs the Secretary and States to apply certain other remedies where the health and safety of facility residents are not immediately jeopardized. Authorizes the imposition of civil money penalties against facilities found to be in compliance with this Act's requirements but to have been out of compliance previously. Provides that if a facility is out of compliance with any of this Act's requirements three months after having been found out of compliance with such requirements or on three consecutive annual surveys, Medicaid payments for newly admitted residents shall be denied, civil monetary penalties assessed and collected, and, in the latter case, on-site monitoring of the facility's compliance shall be established. Provides that when a facility is found to have deficiencies relating to the facility's physical plant that do not immediately jeopardize the health or safety of its clients, the State may submit to the Secretary a written plan for permanently reducing the number of certified beds in such facility within 36 months of such finding and providing services, including community habilitation and supportive services, to clients who thereby cease to receive facility services. Requires that Medicaid-eligible clients be given the option of retaining facility services. Requires the Secretary to report to the Congress annually on the extent to which habilitation facilities are complying with this Act's requirements and the number and type of enforcement actions taken by States and the Secretary. Title III: Appropriate Placement for Individuals with Mental Retardation or Related Condition - Requires that State mental retardation or developmental disability authorities conduct preadmission and annual reviews of habilitation facility applicants and residents with mental retardation or related conditions to determine whether they require facility services or community habilitation and supportive services. Directs that such preadmission and annual reviews be conducted in accordance with criteria to be developed by the Secretary by July 1, 1990. Requires States to provide community habilitation and supportive services for facility clients who need such services but no longer need habilitation facility services. Requires States to establish an appeals procedure for individuals adversely affected by such preadmission and annual reviews. Eliminates existing utilization review and penalty provisions directed at the provision of services in an intermediate care facility for the mentally retarded. Title IV: Payment for Community Habilitation Services and Habilitation Facility Services - Covers the reasonable and adequate costs of community habilitation and supportive services and habilitation facility services. Prohibits Medicaid reimbursement of providers or facilities for civil monetary penalties imposed pursuant to this Act. Title V: Employee Protections and Miscellaneous - Provides employment protections for employees affected by habilitation facility closures or capacity reductions occurring after this Act's enactment. Authorizes States to assign specific management functions relating to the provision of Medicaid services to individuals with mental retardation or related conditions to State agencies responsible for developmentally disabled individuals.
Bill· HRH.R. 872 (101st)referred
United States · United States Congress · 6 February 1989
Comprehensive Health Care Improvement Act of 1989 - Title I: Qualified Health Insurance Plans - Part A: Definitions and Standards for Qualified Plans - Defines a "plan of health coverage" as any plan or combination of plans, including combinations of self-insurance, individual accident and health insurance policies, group accident and health insurance policies, coverage under a nonprofit health service plan, or coverage under a health maintenance organization (HMO) subscriber contract. Directs the Secretary of Health and Human Services to establish standards for qualified plans and procedures for the review and certification of plans of health coverage as qualified plans. Provides that a plan shall be certified as an "A" qualified plan if it meets State requirements and meets the following minimum standards: (1) the minimum benefits for a covered individual equal at least 80 percent of the covered expenses in excess of an annual deductible not exceeding $250 per person or $250 for each of two members of a covered family; (2) the coverage includes a limitation of $3,000 per person and $6,000 for a covered family on total annual out-of-pocket expenses for covered expenses; (3) the coverage is subject to a $1,000,000 maximum life-time benefit; and (4) the $3,000, $6,000, and $1,000,000 limitations are not subject to change or substitution by use of an actuarially equivalent benefit. States that covered expenses are the usual and customary charges of a physician or chiropractor. Lists covered and excluded services. Deems HMOs providing certain services to be providing an "A" qualified plan. Certifies as a "B" qualified plan a plan which meets the requirements of an "A" plan, except that the annual deductible does not exceed $1,000 per person. Directs the Secretary, to the extent feasible, to provide for the review and certification by the insurance commissioner of each State of qualified plans to be offered in the State. States that the sale of plans is in and affects interstate commerce and that, in order to properly regulate such sales, it is necessary to regulate such sales in intrastate, as well as interstate, commerce. Requires every plan of health coverage sold to be labelled as "qualified" or "nonqualified" on the front of the policy. Requires each advertisement or promotion for a plan to specify whether the plan is "qualified" or "nonqualified." Part B: Requiring Offering of Certain Qualified Plans - Requires each employer employing an average of ten or more employees annually to make available a plan or combination of plans of health coverage which: (1) has been certified as an "A" or supplemental plan; (2) is a qualified convertible plan; and (3) permits coverage of an employee's spouse and children. Defines a "qualified convertible plan" as a plan of health coverage which: (1) permits each enrolled individual to continue coverage for one year and then to convert the plan to any individual qualified plan without the addition of underwriting restrictions if, for any reason, the individual leaves the group; and (2) permits, in the case of the death of the individual in whose name the contract was issued, other individuals covered under the plan to continue coverage without the addition of underwriting restrictions. Sets forth civil penalties for noncompliance. Excludes from the term "employee," for purposes of this provision, certain new, part time, part year, young, bargaining unit, and nonresident alien employees. Part C: Offering of Comprehensive Health Insurance by States - Amends title XIX (Medicaid) of the Social Security Act to require the establishment and operation of a comprehensive health association in each State and a comprehensive health plan in each State, in accordance with this part of this Act. Defines a "comprehensive health insurance plan" to mean policies of insurance and contracts of HMO coverage offered by an association through the writing carrier in the State. Defines the "writing carrier" as the insurers and HMOs approved to administer the comprehensive health insurance plan. Provides that each State commissioner of insurance, consistent with any regulations the Secretary may promulgate: (1) may formulate general policies to advance the purposes of this title; (2) shall supervise the creation of the State comprehensive health association; (3) shall approve the selection of the writing carrier by the association in the State and approve the association's contract with the writing carrier, including the State plan coverage and premiums to be charged; (4) may appoint advisory committees with respect to implementation of this part; (5) shall conduct periodic audits to assure the general accuracy of the financial data submitted by the writing carrier and the association in the State; (6) shall contract with the Federal Government and may contract with any other unit of government to ensure coordination of the State plan of the association with other governmental assistance programs; (7) may undertake, directly or through contracts with other persons, studies or demonstration programs to develop awareness of the benefits provided under this Act, so that residents of the State may best avail themselves of the health care benefits provided hereunder; (8) may contract with insurers and others for administrative services; and (9) may adopt, amend, suspend, and repeal rules as reasonably necessary to carry out and make effective the provisions and purposes of this part. Requires each State to provide for the establishment of a comprehensive health association with membership consisting of all insurers, fraternal beneficiary associations, other entities offering health policies, and HMOs authorized or licensed to do business in the State. Exempts each association from State taxation. Provides for a board of directors of each association. Requires that all members of an association: (1) maintain their membership in the association as a condition of doing accident and health insurance, self-insurance, or HMO business in the State; and (2) enter into a reinsurance contract with the association as required by this part. Exempts members of an association, in the performance of their duties as members, from Federal and State antitrust laws. Authorizes each association to provide for the reinsuring of risks incurred as a result of issuing qualified plans by members of the association. Requires each member which elects to reinsure its risks to determine the categories of coverage it elects to reinsure in the association. Provides that the categories consist of: (1) individual qualified plans, excluding group conversions; (2) group conversions; (3) group qualified plans with fewer than 50 employees or members; and (4) major medical coverage. Requires each association through its comprehensive health insurance plan to offer: (1) policies which provide the benefits of "A" and "B" qualified plans; and (2) HMO contracts in those areas of the State where an HMO has agreed to make the coverage available and has been selected as a writing carrier. Requires the comprehensive health insurance plan for a State to be open for enrollment by individuals residing in the State, who can enroll by submitting a certificate of eligibility to the writing carrier which certifies the applicant's name, address, age, length of residence, dependents to be insured, and type of coverage desired. Provides that upon certification the individual can enroll in a State's comprehensive health insurance plan by payment of the State plan premium to the writing carrier. Requires each member of an association to share the claims expenses for approved plans and the operating and administrative expenses incurred by the association, pursuant to the terms of the individual reinsurance contracts executed by the association with each member. Sets forth a method to determine each member's share of expenses. Authorizes any member of an association in a State to submit for approval to the State commissioner the policies of accident and health insurance or the HMO contracts which are being proposed to serve in the comprehensive health insurance plan. Authorizes the association to select approved policies and a contract to be the comprehensive health insurance plan based upon the member's proven ability to handle large group accident and health insurance cases, claims paying capacity, and estimate of total charges for plan administration. Requires each writing carrier to: (1) perform all required administrative and claims payment functions; and (2) report monthly to the association and State commissioner. Exempts premiums received by a writing carrier for the comprehensive health insurance plan from State taxation. Requires each association in a State to disseminate information to State residents regarding the existence of the comprehensive health insurance plan and the means of enrollment. Requires each writing carrier to pay an agent's referral fee, in an amount to be determined by the association, to each insurance agent referring an applicant to the State comprehensive health insurance plan, if the application is accepted. Title II: Program of Assistance to States for Assisting Low-Income Individuals to Purchase Comprehensive Health Insurance - Comprehensive Health Insurance Assistance Act of 1989 - Adds a new title XXI to the Social Security Act entitled "Grants to States for Assistance to Low-Income Individuals in the Purchase of Comprehensive Health Insurance." Authorizes appropriations under title XXI to enable each State to provide assistance to low-income individuals in the purchase of comprehensive health insurance under title XXI. Specifies the amount authorized for each fiscal year. Requires the sums made available under this title to be used to make payments to States which have submitted, and have been approved by the Secretary, State plans for comprehensive health insurance assistance to low-income individuals. Directs the Secretary to pay each State with an approved plan, from the sums appropriated, an amount equal to 50 percent of the sums expended which are attributable either to assistance under the plan to low-income individuals or to plan administration. Prohibits such amount, during any quarter, from exceeding the product of $2.50 and the State's population. Requires a State plan for comprehensive health insurance assistance to low-income individuals, in order to be approved by the Secretary, to meet specified criteria. Title III: Program of Assistance to States for Assisting Individuals Who Incur Catastrophic Expenses for Health Care - Catastrophic Health Care Expenses Assistance Act of 1989 - Amends the Social Security Act to add a new title XXII entitled "Grants to States for Assistance to Individuals Incurring Catastrophic Expenses for Health Care." Authorizes appropriations for each fiscal year to enable each State to furnish medical assistance for catastrophic illness. Requires a State to have submitted and have approved by the Secretary a plan for medical assistance for catastrophic illness. Directs the Secretary to pay each State with an approved plan, from the sums appropriated, an amount equal to 50 percent of the sums expended which are attributable either to payments made under the plan to eligible individuals or to plan administration. Prohibits such amount, during any quarter, from exceeding the product of $0.625 and the State's population. Sets forth circumstances in which payment with respect to expenses is prohibited. Lists requirements for a State plan to be approved by the Secretary. Defines an "eligible individual" as an individual who incurs an obligation to pay, in a consecutive 12-month period, expenses (including dependent's expenses) exceeding the greater of $3,000 (or such lower amount as the State may establish) or 30 percent of household income up to $25,000, plus 40 percent of household income between $25,000 and $40,000, plus 50 percent of household income in excess of $40,000 (or such lower respective percentages of such incomes, or of such higher incomes as the State may establish).
Bill· HRH.R. 864 (101st)referred
United States · United States Congress · 6 February 1989
Repeals the Medicare Catastrophic Coverage Act of 1988.
Bill· SS. 339 (101st)referred
United States · United States Congress · 2 February 1989
Infant Mortality and Childrens Health Act of 1989 - Amends title XIX (Medicaid) of the Social Security Act to require States to cover children born after September 30, 1983, whose family income is below the Federal poverty level. Authorizes States to continue such coverage for one year after the family's income rises above the Federal poverty level. Phases in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Requires the continuation of such coverage for women through the month in which the 60-day post-partum period expires, and for infants throughout their first year of life. Directs the Secretary of Health and Human Services to report to the Congress by July 1, 1990, on State error rates in determining the Medicaid eligibility of pregnant women and infants. Suspends error rate penalties attributable to such eligibility determinations made from July 1, 1989, until one year after the Secretary's report. Permits States to provide Medicaid coverage to all children whose family income is below the Federal poverty level. Requires that States make ambulatory prenatal care available to a pregnant woman during a presumptive eligibility period which ends when she is determined to be ineligible for Medicaid benefits or 14 days after she is determined to be eligible, but fails to apply. Amends title V (Maternal and Child Health Services) of the Act to require States to provide outreach services for Medicaid-eligible pregnant women and infants under such title. Amends the Medicaid program to reimburse States, at the Federal Medicaid assistance percentage, for outreach services identifying Medicaid-eligible pregnant women and infants and assisting them in applying for Medicaid coverage. Requires that States submit information to the Secretary, by April 1 of each year, pertaining to the supply of and demand for obstetrical and pediatric services and proposed Medicaid payment rates for such services so that the Secretary may determine whether such rates are sufficient to ensure that obstetrical and pediatric services will be at least as available to Medicaid beneficiaries as they are to the general population. Requires States to immediately revise rates determined to be insufficient. Increases, by 25 percent, the Federal share of Medicaid costs attributable to State demonstration projects to reduce infant mortality and childhood morbidity by improving the access of Medicaid-eligible pregnant women, infants, and children to obstetricians and pediatricians. Limits FY 1990 expenditures for such projects. Directs States to adjust Medicaid payments to disproportionate share hospitals to take into account exceptionally costly and lengthy inpatient hospital services for children. Requires States to: (1) coordinate Medicaid services with the special supplemental food program for women, infants, and children (WIC) under the Child Nutrition Act of 1966; and (2) notify Medicaid-eligible pregnant, breastfeeding, or postpartum women and children under age five of WIC program benefits. Directs the Secretary to develop, for use by January 1, 1990, a national toll-free phone number providing basic health information and health care referrals to pregnant women, new mothers, and other interested persons.
Bill· SS. 335 (101st)referred
United States · United States Congress · 2 February 1989
Medicare Catastrophic Coverage Revision Act of 1989 - Delays, for one year, the implementation of the Medicare Catastrophic Coverage Act of 1988, except for provisions of such Act expanding benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act.
Bill· SS. 334 (101st)referred
United States · United States Congress · 2 February 1989
National Health Promotion Act of 1989 - Authorizes the Secretary of Health and Human Services to make grants to pay the Federal share of the cost of health promotion campaigns. Provides for allotment to each State of any sums appropriated. Directs the Secretary to provide for the collection of data that measure and evaluate the impact of the campaigns. Mandates the creation of an Advisory Board by each State. Sets forth the Federal share for each year of participation. Declares that each State shall be eligible for Federal funding for any three consecutive years of the five-year period during which the Federal program shall operate. Authorizes appropriations for FY 1989 through 1991.
Bill· HRH.R. 833 (101st)open
United States · United States Congress · 2 February 1989
Medicaid Child Health Amendments of 1989 - Amends title XIX (Medicaid) of the Social Security Act to require States to cover children born after September 30, 1983, whose family income is below the Federal poverty level. Authorizes States to continue such coverage for one year after the family's income rises above the Federal poverty level. Requires States to receive the Medicaid applications of pregnant women, infants, and children at locations which include locations other than those used under part A (Aid to Families with Dependent Children) (AFDC) of title IV of the Act. Permits States to provide Medicaid coverage to all children whose family income is below the Federal poverty level. Allows States to offer an additional nine-, 12-, 15-, or 18-month period of Medicaid eligibility, rather than the additional six-month period, to families who lose AFDC eligibility because of increased earnings or employment hours, or a loss of earning exclusions and receive the initial six months of extended Medicaid coverage. Requires that States submit information to the Secretary of Health and Human Services by April 1 of each year, pertaining to the supply of and demand for pediatric services and proposed Medicaid payment rates for such services so that the Secretary may determine whether such rates are sufficient to ensure that pediatric services will be at least as available to Medicaid beneficiaries as they are to the general population. Requires States to immediately revise rates determined to be insufficient. Increases, by 25 percent, the Federal share of Medicaid costs attributable to State demonstration projects to reduce childhood mortality and morbidity by improving the access of Medicaid-eligible children to pediatricians. Limits FY 1990 expenditures for such projects. Directs States to adjust Medicaid payments to disproportionate share hospitals to take into account exceptionally costly and lengthy inpatient hospital services for children under 18 years of age.
Bill· HRH.R. 800 (101st)open
United States · United States Congress · 2 February 1989
Medicaid Infant Mortality Amendments of 1989 - Amends title XIX (Medicaid) of the Social Security Act to phase-in mandatory State coverage of pregnant women and infants whose family income is below 185 percent of the Federal poverty level. Deducts child and medical care costs from the income eligibility test. Requires the continuation of such coverage for women through the month in which the 60-day post-partum period expires, and for infants throughout their first year of life. Directs the Secretary of Health and Human Services to report to the Congress by July 1, 1990, on State error rates in determining the Medicaid eligibility of pregnant women and infants. Suspends error rate penalties attributable to such eligibility determinations made from July 1, 1989, until one year after the Secretary's report. Requires that States make ambulatory prenatal care available to a pregnant woman during a presumptive eligibility period which ends when she is determined to be ineligible for Medicaid benefits or 14 days after she is determined to be eligible, but fails to apply. Amends title V (Maternal and Child Health Services) of the Act to require States to provide outreach services for Medicaid-eligible pregnant women and infants under such title. Amends the Medicaid program to reimburse States, at the Federal Medicaid assistance percentage, for outreach services identifying Medicaid-eligible pregnant women and infants and assisting them in applying for Medicaid coverage. Requires that States submit information to the Secretary, by April 1 of each year, pertaining to the supply of and demand for obstetrical and pediatric services and proposed Medicaid payment rates for such services so that the Secretary may determine whether such rates are sufficient to ensure that obstetrical and pediatric services will be at least as available to Medicaid beneficiaries as they are to the general population. Requires States to immediately revise rates determined to be insufficient. Increases, by 25 percent, the Federal share of Medicaid costs attributable to State demonstration projects to reduce infant mortality and childhood morbidity by improving the access of Medicaid-eligible pregnant women and infants to obstetricians and pediatricians. Limits FY 1990 expenditures for such projects. Excepts Medicaid-eligible pregnant women from required cooperation with States in establishing the paternity of children born out of wedlock. Requires States to: (1) coordinate Medicaid services with the special supplemental food program for women, infants, and children (WIC) under the Child Nutrition Act of 1966; and (2) notify Medicaid-eligible pregnant, breastfeeding, or postpartum women and children under age five of WIC program benefits.
Bill· HRH.R. 821 (101st)open
United States · United States Congress · 2 February 1989
Medicare Hospital Patient Protection Amendments of 1989 - Amends title XVIII (Medicare) of the Social Security Act to require that a hospital give an individual who comes to its emergency department a requested medical screening examination to determine whether or not an emergency medical condition exists if such examination is within the hospital's capability. (Currently, the examination must be within the emergency department's capability for such requirement to be applicable.) Requires hospitals to ensure that an individual's refusal of treatment for, or transfer for the treatment of, an emergency medical condition is an informed decision. Prohibits hospitals from transferring a patient who has an emergency medical condition that has not been stabilized, unless the patient gives written informed consent to the transfer or refuses to consent to treatment. Revises the provisions of current law with respect to the process and standards for effecting such a transfer. Requires that hospitals which transfer a patient who has an emergency medical condition send all the medical records available at the time of the transfer to the receiving facility. Directs hospitals to post conspicuously in their emergency departments a sign specifying the rights of individuals regarding examination and treatment for emergency medical conditions. Makes a hospital liable for the acts and omissions of its agents and the physicians through whom it carries out its duties in providing examinations and treatment for emergency medical conditions, except when it relies in good faith on the medical judgment of such a physician with respect to a patient's condition. Requires hospitals to maintain memoranda of transfer for patients transferred to or from the hospital for five years after such transfers. Imposes penalties against physicians who engage in specified acts or omissions related to the examination and treatment of individuals who have emergency medical conditions. Authorizes individuals to institute civil actions against hospitals or physicians violating emergency medical condition examination and treatment requirements. Sets a floor on damage awards. Prohibits hospitals that have specialized capabilities or facilities from refusing to accept an appropriate transfer of an individual who requires such specialized capabilities or facilities. Prohibits hospitals from delaying the required examination and treatment for emergency medical conditions in order to inquire about an individual's method of payment or insurance status. Makes terminological changes to provisions concerning examinations and treatment for emergency medical conditions. Redefines active labor (treated as an emergency medical condition) to include any time during pregnancy when a mother's transfer from a hospital may threaten the health and safety of her unborn child.
Bill· HRH.R. 774 (101st)open
United States · United States Congress · 2 February 1989
Amends title XVIII (Medicare) of the Social Security Act to cover, on a reasonable charge basis, the services of a clinical psychologist which would otherwise be covered if furnished by a physician or as incident to a physician's service.
Bill· HRH.R. 762 (101st)open
United States · United States Congress · 2 February 1989
Establishes the Medicare Geographical Classification Review Board to decide on a rural hospital's application for classification as an urban hospital for Medicare payment purposes. Amends the Omnibus Budget Reconciliation Act of 1987 to alter the Rural Health Care Transition Grant Program to extend and increase authorized appropriations for such program through FY 1992, and permit the Secretary to waive the hospital grant limit. Expands, from four to ten hospitals, a Medicare demonstration program covering additional costs incurred by teaching hospitals in sending their residents to rural hospitals for training. Requires the Secretary to establish five-year Medicare demonstration programs covering costs incurred by five hospitals in providing clinical training to undergraduate nurses. Extends the regional referral center classification of hospitals so classified as of September 30, 1989, and the payment rates applicable to such hospitals under the Medicare program, through FY 1994.
Bill· HRH.R. 758 (101st)referred
United States · United States Congress · 2 February 1989
Amends the Rehabilitation Act of 1973 to authorize the Director of the National Institute on Disability and Rehabilitation to conduct a research program to finance development of advanced technology prosthetic and orthotic devices by Federal, State, and local government agencies and qualified private organizations. Requires such program to include research on: (1) the development of lower and upper limb devices; (2) useful applications of modern materials; and (3) new methods of utilizing body power. Directs the Secretary of Education to prescribe regulations for such program within 90 days. Authorizes appropriations for FY 1990 and 1991 for such research program. Requires that at least ten percent of such funds be used to make grants to providers of prosthetic and orthotic services who are approved under agreement with the Department of Veterans Affairs.
Bill· HRH.R. 804 (101st)referred
United States · United States Congress · 2 February 1989
Fair Medicare Treatment for Rural Hospitals Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to eliminate differences in average standardized Medicare payments to large urban, other urban, and rural hospitals.
Bill· HRH.R. 832 (101st)referred
United States · United States Congress · 2 February 1989
Medicaid Technology-Dependent Children Amendments of 1989 - Amends title XIX (Medicaid) of the Social Security Act to require States to provide Medicaid coverage to technology-dependent children (children needing both a medical device to compensate for loss of a vital body function and ongoing nursing care). Revises Medicaid eligibility requirements for disabled children.
Bill· HJRESH.J.Res. 120 (101st)open
United States · United States Congress · 2 February 1989
Designates May 1989 as National Trauma Awareness Month.
Bill· HJRESH.J.Res. 122 (101st)referred
United States · United States Congress · 2 February 1989
Designates the week beginning November 26, 1989, as National Home Care Week.
Bill· SS. 306 (101st)open
United States · United States Congress · 31 January 1989
Equity for Rural Hospitals Act of 1989 - Directs the Secretary of Health and Human Services to design a legislative proposal for eliminating the differences in average standardized Medicare payments (under title XVIII of the Social Security Act) to large urban, other urban, and rural hospitals by FY 1995, while recognizing appropriate cost differences among hospitals. Amends the Medicare program to provide additional payments to Medicare-dependent, small rural hospitals up to FY 1992 (when the transition to a single average standardized Medicare payment rate is required to begin), ensuring the coverage of such hospitals' reasonable operating costs for Medicare inpatient hospital services. Requires the recomputation of Medicare sole community hospital payment rates using the most recent information on hospital-specific costs per case and, if greater, national rather than regional prospective payment rates. Includes, in the Secretary's determination as to whether a hospital is a sole community hospital, consideration of the travel time to the nearest alternative source of inpatient care and the number of patients who seek health services which are unavailable in the hospital's area. Establishes the Medicare Geographical Classification Review Board to decide on a rural hospital's application for classification as an urban hospital for Medicare payment purposes. Amends the Omnibus Budget Reconciliation Act of 1987 to alter the Rural Health Care Transition Grant Program to extend and increase authorized appropriations for such program through FY 1992, and permit the Secretary to waive the hospital grant limit. Expands, from four to ten hospitals, a Medicare demonstration program covering additional costs incurred by teaching hospitals in sending their residents to rural hospitals for training. Requires the Secretary to establish five-year Medicare demonstration programs covering costs incurred by five hospitals in providing clinical training to undergraduate nurses.
Bill· SS. 320 (101st)referred
United States · United States Congress · 31 January 1989
Disabled Americans Work Incentive Act of 1989 - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to continue the part A eligibility of physically or mentally impaired individuals who were eligible for such benefits by reason of their entitlement to disability benefits under title II (Old Age, Survivors and Disability Insurance) of the Act, but whose title II benefits have been terminated because they engaged in substantial gainful activity. Sets forth enrollment, special enrollment, and coverage periods as well as the contingencies terminating one's enrollment. Conditions such continued part A eligibility upon the payment of a monthly premium. Requires individuals who are entitled to part B (Supplementary Medical Insurance) Medicare benefits only by reason of their continued part A eligibility provided by this Act to pay a monthly premium set at four times the amount otherwise required under part B. Prohibits such part A and B premiums from exceeding a specified percentage of the individual's adjusted gross income, unless the premium thereby sinks below 25 percent of the premium determined without income restraints. Prohibits the benefits provided by this Act from supplanting employer group health plan benefits.
Bill· SS. 304 (101st)referred
United States · United States Congress · 31 January 1989
Equal Opportunity for Medical Licensure and Reciprocity Act of 1989 - Prohibits discrimination against any person who graduated from a medical school outside the United States and who is a licensed physician in the United States: (1) in equal access to practice medicine within any U.S. jurisdiction; (2) by law, regulation, policy, or requirements; and (3) by conditions or requirements which differ from the conditions or requirements as applied to graduates of U.S. medical schools. Applies the prohibition to any medical specialty as well as to the general practice of medicine. Prohibits the Secretary of Health and Human Services from making a grant, loan guarantee, or interest subsidy to, or for the benefit of, any school of medicine, unless the application contains assurances that the school will not discriminate against a graduate of a non-U.S. medical school. Requires States to adopt medical licensure and medical reciprocity standards which provide equal opportunity to any graduate of a non-U.S. medical school, as compared to any graduate of a U.S. medical school, provided the non-U.S. medical school graduate has completed the U.S. postgraduate training and obtained a license to practice medicine in any State.
Law· SJRESS.J.Res. 37 (101st)enacted
United States · United States Congress · 31 January 1989
Designates the week beginning May 14, 1989, as National Osteoporosis Prevention Week of 1989.
Resolution· SRESS.Res. 31 (101st)referred
United States · United States Congress · 31 January 1989
Designates the month of November 1989 as National Alzheimer's Disease Month.
Resolution· SCONRESS.Con.Res. 10 (101st)referred
United States · United States Congress · 31 January 1989
Protect Medicare 90 Concurrent Resolution - Expresses the sense of the Congress that Medicare (title XVIII of the Social Security Act) hospital payments for FY 1990 should not be reduced below levels set by current law for such fiscal year.
Bill· HRH.R. 754 (101st)referred
United States · United States Congress · 31 January 1989
Hospital Indigent Care Assistance Act of 1989 - Title I: Amendments of Internal Revenue Code of 1986 - Amends the Internal Revenue Code to impose on employers an excise tax equal to one percent of the amounts paid by an employer to provide employee medical benefits. Subjects self-employed individuals to a corresponding tax based on the amount allowed as a tax deduction for health insurance costs. Establishes in the Treasury the Hospital Indigent Care Assistance Trust Fund to receive amounts generated by the excise tax. Makes Fund moneys available solely for Medicare program expenditures. Title II: Assistance to Hospitals Providing Indigent Care - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to make payments from the Fund to eligible applicant hospitals to cover a specified percentage of their uncompensated care costs, determined in accordance with this Act. Describes eligibility criteria, including a requirement that the Medicare allowable costs of providing patient care services exceed the hospital's patient revenues for the pertinent cost reporting period. Directs the Secretary to: (1) provide for a study of the extent of uncompensated health care provided by various health care providers; and (2) report the results to the Congress by July 1, 1992.
Bill· HRH.R. 751 (101st)referred
United States · United States Congress · 31 January 1989
Requires that Medicaid (title XIX of the Social Security Act) payments for inpatient hospital services be no less than 90 percent of the payments that would be made for such services under Medicare (title XVIII). Amends the Medicaid program to prohibit any limitation on the amount, duration, or scope of Medicaid coverage for medically necessary inpatient hospital services. Provides that if Medicaid payments for inpatient hospital services are made on a prospective basis, an outlier adjustment in such payment amounts must be made for services involving exceptionally high costs or long stays.
Bill· HRH.R. 730 (101st)referred
United States · United States Congress · 31 January 1989
Directs the Secretary of Health and Human Services to establish a program of grants to: (1) identify women who received diethylstilbestrol (DES) while pregnant and their children; (2) establish a voluntary registry of such women and children; (3) provide them with periodic cancer screening; and (4) provide health care personnel and the public with information respecting the health hazards of such drug. Authorizes appropriations.
Bill· HRH.R. 718 (101st)referred
United States · United States Congress · 31 January 1989
Smoking Cost Recovery and Education Tax Act of 1989 - Amends the Internal Revenue Code to increase all existing Federal excise taxes on tobacco products. Imposes a new tax of $1.17 per pound on cigarette tobacco manufactured in or imported into the United States. Establishes in the Treasury the Smoking Cost Recovery and Education Trust Fund, to be available to finance educational programs (including paid advertising) concerning the hazards of cigarette smoking, with emphasis on discouraging smoking by youth. Appropriates to the Fund ten percent of the increase in tobacco tax revenue generated as a result of this Act. Directs the Secretary of the Treasury to conduct an ongoing study and to report biennially to specified congressional committees on: (1) the effects of smoking on health care costs; and (2) the incidence of cigarette smoking by youth, including the relationship between cigarette tax rates and youth smoking.
Bill· HRH.R. 753 (101st)referred
United States · United States Congress · 31 January 1989
Medicare Trauma Care and Emergency Services Quality Assurance Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to require each State to develop a statewide trauma and emergency medical services plan which: (1) provides for the designation of hospitals as level I, level II, or level III trauma centers; (2) establishes standards for the prehospital care and emergency transport of trauma patients; and (3) sets forth guidelines for the transfer of patients to trauma centers. Directs the Secretary of Health and Human Services to make grants to States for the development and implementation of such plans. Covers 40 percent of State expenditures on such plans, but limits State allotments to five cents multiplied by the number of State residents. Requires the Secretary to conduct a study and report to the Congress by March 1, 1991, on the adequacy of Medicare payments for trauma discharges.
Bill· HRH.R. 741 (101st)referred
United States · United States Congress · 31 January 1989
Amends the Internal Revenue Code to impose the supplemental Medicare premium on individuals who are Medicare-eligible for at least one month beginning in the taxable year (the current threshold is six months). Prorates the premium for persons not Medicare-eligible for the entire year.
Bill· HRH.R. 720 (101st)referred
United States · United States Congress · 31 January 1989
Provides that restrictions may be applied to information, counseling, or services provided by family planning entities abroad that receive U.S. assistance under the Foreign Assistance Act of 1961 only to the extent that the same restrictions apply to domestic family planning entities receiving funds under the Public Health Service Act.
Law· HJRESH.J.Res. 112 (101st)enacted
United States · United States Congress · 31 January 1989
Authorizes and requests the President to designate April 23 through April 30, 1989, as National Organ and Tissue Donor Awareness Week.
Bill· HJRESH.J.Res. 115 (101st)referred
United States · United States Congress · 31 January 1989
Designates September 15, 1989, as National Respect for the Elderly Day.
Resolution· HCONRESH.Con.Res. 40 (101st)referred
United States · United States Congress · 31 January 1989
Protect Medicare 90 Concurrent Resolution - Expresses the sense of the Congress that Medicare (title XVIII of the Social Security Act) hospital payments for FY 1990 should not be reduced below levels set by current law for such fiscal year.
Bill· HRH.R. 712 (101st)open
United States · United States Congress · 27 January 1989
Medicare Inpatient Hospital Capital Expenditures Amendments of 1989 - Amends title XVIII (Medicare) of the Social Security Act to prohibit Medicare payment for hospital, capital-related costs in a State, beginning in FY 1991, unless the State: (1) has entered into an agreement with the Secretary of Health and Human Services to review capital expenditures for inpatient hospital services pursuant to an Inpatient Hospital Facilities Plan developed by the State; and (2) has an average hospital occupancy rate of greater than 85 percent in urban areas and 75 percent in rural areas. Sets forth the required content of Inpatient Hospital Facilities Plans. Provides Medicare payments on a prospective basis, beginning in FY 1991, for hospital, capital-related costs for moveable equipment that has a minimum useful life of approximately three years.
Bill· HRH.R. 697 (101st)referred
United States · United States Congress · 27 January 1989
Repeals the Medicare Catastrophic Coverage Act of 1988.
Bill· HRH.R. 706 (101st)referred
United States · United States Congress · 27 January 1989
Intravenous Substance Abuse and AIDS Prevention Act of 1989 - Authorizes the Secretary of Health and Human Services to make grants for treatment services to intravenous substance abusers. Conditions grants on the applicant agreeing to make available: (1) counseling and education with respect to preventing the transmission of the etiologic agent for acquired immune deficiency syndrome (AIDS); (2) testing to determine whether the abusers have been infected; and (3) pre- and post-test counseling. Prohibits making a grant unless the applicant agrees not to condition receipt of treatment services on the individual undergoing such testing. Sets forth requirements relating to the geographic distribution of grants. Provides for allocation of amounts appropriated under provisions of this Act. Authorizes the Secretary to make grants to carry out demonstration projects for reducing or preventing the incidence in infants of infections with the etiologic agent for AIDS and for providing support to infants who have such infections. Sets forth priorities in making grants and uses for which grantees may expend grant funds. Authorizes the Secretary to make grants to provide counseling and education services with respect to preventing the transmission of the etiologic agent directly or indirectly through intravenous substance abuse. Sets forth priorities in making grants and uses for which grantees may expend grant funds. Prohibits the making of grants under this Act unless the applicant agrees not to expend amounts received under the grant to supplant any funds otherwise available to the applicant for the grant purpose. Requires a period during which the State agency responsible for administering substance abuse treatment programs may comment on grant applications. Authorizes appropriations for FY 1989 through 1992.
Bill· HRH.R. 688 (101st)referred
United States · United States Congress · 27 January 1989
Older Americans Long-Term Care Insurance Act of 1989 - Title I: Tax Provisions Related to Long-Term Care Insurance - Amends the Internal Revenue Code to require that, for the purpose of determining the income tax liability of issuers of qualified long-term insurance, the contracts be treated as accident or health insurance. Applies this provision to policies covering at least 12 consecutive months of necessary diagnostic, preventive, therapeutic, rehabilitative, or personal care services that are provided in a setting other than an acute care unit of a hospital. Requires policies issued after 1989 to be reinsured by the Federal National Long-Term Care Reinsurance Corporation, if the Corporation is incorporated when the policy is issued. Directs the Secretary of Health and Human Services to: (1) submit to the Congress before 1991 a study on long-term insurance policies; and (2) report annually to the Congress regarding the certification of qualified long-term care insurance. Treats qualified long-term care insurance as accident or health insurance and its benefits as benefits for personal injuries or sickness for purposes of determining appropriate tax exclusions for employer contributions or employee benefits. Excludes from gross income: (1) distributions or payments from individual retirement plans that are used during the year to pay the premiums for qualified long-term care coverage of individuals aged 59 1/2 or older; and (2) amounts received upon surrender, cancellation, or exchange of a life insurance contract and used during the year to pay the premiums for qualified long-term care insurance. Title II: Federal National Long-Term Care Reinsurance Corporation - Federal National Long-Term Care Reinsurance Corporation Act - Authorizes the Secretary to provide for the incorporation of the Federal National Long-Term Care Reinsurance Corporation (not an agency or establishment of the U.S. Government). Requires the Corporation to confine its activities to reinsuring insurance companies for extraordinary loss in the issuance or payment of qualified long-term care insurance benefits. Directs the Corporation to report annually to the President and to the Congress regarding its activities.
Bill· HRH.R. 708 (101st)referred
United States · United States Congress · 27 January 1989
Amends title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays, physical examinations, and related routine laboratory tests.
Bill· HRH.R. 680 (101st)referred
United States · United States Congress · 27 January 1989
Extends the regional referral center classification of hospitals so classified as of September 30, 1989, and the payment rates applicable to such hospitals under title XVIII (Medicare) of the Social Security Act through FY 1994.
Bill· HRH.R. 705 (101st)referred
United States · United States Congress · 27 January 1989
Anti-Drug Abuse Supplemental Appropriations Act of 1989 - Makes supplemental appropriations for FY 1989 for purposes specified in titles I through VIII and for drug treatment and rehabilitation services and assistance to law enforcement agencies. Title I: Departments of Justice and State and the Judiciary - Makes appropriations for the Department of Justice for: (1) salaries and expenses for the Federal Bureau of Investigation, the Drug Enforcement Administration, the Immigration and Naturalization Service, the General Legal Activities Account, U.S. Attorneys, the U.S. Marshals Service, and the Federal Prison System (FPS); (2) support of U.S.. prisoners; (3) buildings and facilities of the FPS; (4) the National Institute of Corrections; (5) Office of Justice programs; (6) the National Institute of Justice; (7) the Bureau of Justice Statistics; (8) the Office of Juvenile Justice and Delinquency Prevention; (9) the Bureau of Justice Assistance; and (10) the State Justice Institute. Makes appropriations for the Department of State for: (1) expenses for development, procurement, and implementation of a machine-readable travel and identity document border security program; and (2) rewards for information concerning narcotics-related offenses. Makes appropriations for the Judiciary for: (1) salaries and expenses for courts of appeals, district courts, and other judicial services; (2) defender services; (3) fees of jurors and commissioners; and (4) security equipment. Title II: Departments of Labor, Health and Human Services, and Education and Related Agencies - Makes appropriations for: (1) the Department of Labor for substance abuse employee assistance programs in the workplace; (2) the Department of Health and Human Services for certain substance abuse prevention and treatment activities; (3) the Department of Education for school improvement programs and for the National Commission on Drug-Free Schools; and (4) related agency substance abuse prevention and education activities. Title III: Department of Agriculture - Makes appropriations to the Department of Agriculture for: (1) the Food and Nutrition Service for preparing and distributing drug abuse education materials; and (2) the National Forest Service for Federal law enforcement activities relating to the use and production of narcotics and controlled substances on lands administered by the Service. Title IV: Department of Transportation - Makes appropriations to the Department of Transportation for: (1) the Coast Guard for drug interdiction program operating expenses; (2) acquisition, construction, and improvements; (3) the Federal Highway Administration for drunk driving prevention programs; and (4) the National Highway Traffic Safety Administration to establish a regional pilot program for training law enforcement officers to identify individuals operating a motor vehicle while under the influence of alcohol or controlled substances. Title V: Department of the Treasury - Makes appropriations to the Department of the Treasury for: (1) salaries and expenses for the Bureau of Alcohol, Tobacco and Firearms; (2) salaries and expenses for the U.S. Customs Service, including funding for development, procurement, and implementation of a machine-readable travel and identity document border security program; (3) operations and maintenance for the Customs Service's air interdiction program; and (4) the Federal Law Enforcement Training Center. Makes appropriations for: (1) the National Commission on Measured Responses to Achieve a Drug-Free America by 1995; and (2) the President's Media Commission on Alcohol and Drug Abuse Prevention. Title VI: Foreign Assistance - Makes appropriations to the Department of State for: (1) multilateral assistance authorized by the International Narcotics Control Act of 1988; and (2) military assistance to the armed forces of Colombia to combat illicit narcotics production and trafficking. Title VII: Departments of Housing and Urban Development and Veterans Affairs - Makes appropriations to the: (1) Department of Housing and Urban Development for the Public Housing Drug Elimination Pilot Program; and (2) Department of Veterans Affairs for drug and alcohol treatment programs. Title VIII: Department of the Interior - Makes appropriations for: (1) Indian alcohol and substance abuse prevention and treatment; (2) Federal law enforcement activities related to the use and production of narcotics and controlled substances on Bureau of Land Management public lands and in National Park System units; and (3) grants to the Governments of American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, the Virgin Islands, and Palau for specified anti-drug abuse purposes under the United States Insular Areas Drug Abuse Act of 1986. Title IX: General Provisions - Precludes any part of any appropriation contained in this Act from remaining available for obligation beyond the current fiscal year unless expressly so provided. Expresses the sense of the Congress that Federal anti-drug abuse program funding levels for FY 1990 should be maintained at the FY 1989 levels provided under specified Acts together with increases authorized by the Anti-Drug Abuse Act of 1988.
Bill· HJRESH.J.Res. 108 (101st)referred
United States · United States Congress · 27 January 1989
Designates the week beginning May 14, 1989, as National Osteoporosis Prevention Week of 1989.
Resolution· HRESH.Res. 55 (101st)referred
United States · United States Congress · 27 January 1989
Congratulates Donald Richard Newkirk on his 30th anniversary with, and his retirement from, the Ohio Hospital Association.
Bill· SS. 265 (101st)open
United States · United States Congress · 25 January 1989
Directs the Secretary of Health and Human Services to establish a program of grants to: (1) identify women who received diethylstilbestrol (DES) while pregnant and their children; (2) establish a voluntary registry of such women and children; (3) provide them with periodic cancer screening; and (4) provide health care personnel and the public with information with respect to the health hazards of such drug. Authorizes appropriations.